Individual provider · Type 1 NPI

Jessica Bird, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1104782283 Active

Practice location

800 Spruce St
Philadelphia, PA 19107-6192

Mailing address

63 Owaissa Dr
Rochester, NY 14622-1865

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP034851 (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 1104782283

Jessica Bird, CRNP's National Provider Identifier is 1104782283, issued on Jan 1, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 1, 2026.