Individual provider · Type 1 NPI
Jessica Weatherwax, CRNP
Acute Care Nurse Practitioner · Philadelphia, PA
NPI number
1225617731
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
309 Locust Ave
Haddon Township, NJ 08108-2420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP023562 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1225617731
Jessica Weatherwax, CRNP's National Provider Identifier is 1225617731, issued on Apr 3, 2021. 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 Apr 3, 2021.