Provider Demographics
NPI:1932791654
Name:DEMKO, JENNIFER ANN (CRNP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANN
Last Name:DEMKO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5700 CORPORATE DR STE 530
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5851
Mailing Address - Country:US
Mailing Address - Phone:412-503-7026
Mailing Address - Fax:954-526-1584
Practice Address - Street 1:5700 CORPORATE DR STE 530
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5851
Practice Address - Country:US
Practice Address - Phone:412-503-7026
Practice Address - Fax:954-526-1584
Is Sole Proprietor?:No
Enumeration Date:2021-02-04
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP023195207Q00000X
PA2023204732363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine