Individual provider · Type 1 NPI
Jheesoo Ahn
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1174486989
Active
Practice location
3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Mailing address
4519 Chestnut St Unit 537
Philadelphia, PA 19139-3969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP034127 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1174486989
Jheesoo Ahn's National Provider Identifier is 1174486989, issued on Dec 8, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 8, 2025.