Individual provider · Type 1 NPI
Jessica Caputo, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1174461446
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
241 S Bryn Mawr Ave Apt A
Bryn Mawr, PA 19010-2248
Other practice locations
- 3500 Civic Center Blvd, Philadelphia, PA 19104-4395 · (215) 590-1000
- 1840 Susquehanna Rd, Abington, PA 19001-4612 · (215) 885-2790
- 550 S Goddard Blvd, King Of Prussia, PA 19406-2922 · (610) 337-3232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP035435 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1174461446
Jessica Caputo, CRNP's National Provider Identifier is 1174461446, issued on Mar 24, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 24, 2026.