Provider Demographics
NPI:1447491303
Name:HEMPHILL, BETHANY JOLLEY (RN, MSN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:JOLLEY
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 YORK RD
Mailing Address - Street 2:
Mailing Address - City:BUCKINGHAM
Mailing Address - State:PA
Mailing Address - Zip Code:18912
Mailing Address - Country:US
Mailing Address - Phone:215-794-3305
Mailing Address - Fax:215-794-3361
Practice Address - Street 1:4870 YORK RD
Practice Address - Street 2:
Practice Address - City:BUCKINGHAM
Practice Address - State:PA
Practice Address - Zip Code:18912
Practice Address - Country:US
Practice Address - Phone:215-794-3305
Practice Address - Fax:215-794-3361
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP-003530D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics