Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | SP024046 | PA |
NPI | 1003580804 |
---|---|
Provider Name | Jennifer Joy Hrynko |
First Address | Huntingdon Valley, PA 19006-8436 |
Second Address | Columbia, MD 21044-2655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2021 |
Last Update Date | 04/08/2021 |