Basic Information
| Provider Information | |||||||||
| NPI: | 1528406675 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUTSLER | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | LOUISE | ||||||||
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| Credential: | MSN, RN, CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174218 | ||||||||
| Practice Location | |||||||||
| Address1: | 1624 ORCHARD DR | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172019206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172676427 | ||||||||
| FaxNumber: | 7172676423 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2013 | ||||||||
| LastUpdateDate: | 05/11/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | SP013067 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 102862653 0001 | 05 | PA | MEDICAID | 4822764 | 01 | PA | AETNA NON HMO | OTHER | 50118546 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 50118580 | 01 | PA | CAPITAL BLUE CROSS | OTHER | P01253085 | 01 | PA | RAILROAD MEDICARE | OTHER | 002901153 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 102862653 0002 | 05 | PA | MEDICAID | 3805537 | 01 | PA | UNITED HEALTH CARE (MAMSI) | OTHER | 8894448 | 01 | PA | AETNA HMO | OTHER |