Provider Demographics
NPI:1932716420
Name:ERB, JESSICA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:ERB
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 S TAN ALY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17026-9349
Mailing Address - Country:US
Mailing Address - Phone:717-865-6644
Mailing Address - Fax:717-251-1331
Practice Address - Street 1:120 S TAN ALY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:PA
Practice Address - Zip Code:17026-9349
Practice Address - Country:US
Practice Address - Phone:717-865-6644
Practice Address - Fax:717-251-1331
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022280363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily