Provider Demographics
NPI:1215637889
Name:PALLIATIVE CARE FROM THE HEART PC
Entity type:Organization
Organization Name:PALLIATIVE CARE FROM THE HEART PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEMOLA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP,FNP
Authorized Official - Phone:484-542-6867
Mailing Address - Street 1:4818 RAFI RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5683
Mailing Address - Country:US
Mailing Address - Phone:203-558-9721
Mailing Address - Fax:
Practice Address - Street 1:4818 RAFI RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5683
Practice Address - Country:US
Practice Address - Phone:203-558-9721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health