Individual provider · Type 1 NPI
Jessica Decastro, AC-PNP
Pediatric Registered Nurse · Philadelphia, PA
NPI number
1235775404
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Mailing address
30 Cameron Cir
Laurel Springs, NJ 08021-4861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | RN683320 (PA) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1235775404
Jessica Decastro, AC-PNP's National Provider Identifier is 1235775404, issued on Nov 22, 2019. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 22, 2019.