Individual provider · Type 1 NPI

Jacqueline M. Redman, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1063753598 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Fax (215) 707-1576

Mailing address

2450 W Hunting Park Ave, Physicians Office Building, Suite 208
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XSP012724 (PA)
Nurse Practitioner Primary 363L00000XSP012724 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063753598

Jacqueline M. Redman, CRNP's National Provider Identifier is 1063753598, issued on Mar 7, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 27, 2017.