Individual provider · Type 1 NPI
Destiny Mayo-Juratovic, CRNP
Critical Care Medicine Nurse Practitioner · Philadelphia, PA
NPI number
1154860294
Active
Practice location
1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Fax (629) 240-6003
Mailing address
5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Other practice locations
- 680 Blair Mill Rd, Horsham, PA 19044-2223 · (800) 765-6808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | SP017240 (PA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1154860294
Destiny Mayo-Juratovic, CRNP's National Provider Identifier is 1154860294, issued on Feb 22, 2017. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 22, 2026.