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General NPI Number Information
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NPI Number | 1417783481
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Entity Type | Individual
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Provider Name | JESSICA SKIRLIS CRNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/09/2024
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 100 PLAZA CT STE C
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-8258
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Country | US
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Telephone | 570-775-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 650 KATHLEEN DR
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City | NAZARETH
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State | PA
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Zip | 18064-8201
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Country | US
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Telephone | 484-558-2786
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Fax | 484-543-2522
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP032799
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN648269
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License Number State | PA
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