Individual provider · Type 1 NPI
Jacquelyn Lauren Oswald
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1114687068
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
2840 Haverford Rd
Ardmore, PA 19003-1715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP025053 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1114687068
Jacquelyn Lauren Oswald's National Provider Identifier is 1114687068, issued on Dec 20, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 20, 2021.