Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN TARA DELAURETIS, PA-C
ActiveJACLYN TARA DELAURETIS, PA-C is a Physician Assistant healthcare provider located in MILLVILLE, Pennsylvania. NPI 1518355270 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MILLVILLE, PA
Registration Details
- NPI Number
- 1518355270
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2015 (11.583639778423 yrs)
- Last Updated
- Jan 5, 2015
- Licenses
-
MA057228 (PA)OA003421 (PA)
Practice Information
- Address
-
515 JERSEYTOWN RDMILLVILLE, PA, 178468825Browse PA providers · Browse ZIP 17846
- Phone
- 5704585597
- Fax
- 5704585114
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.