Individual provider · Type 1 NPI

Jacqueline Lee, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1275381402 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

701 Gregory Dr
Horsham, PA 19044-1123

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XSP029707 (PA)
Nurse Practitioner Primary 363L00000XSP029707 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1275381402

Jacqueline Lee, CRNP's National Provider Identifier is 1275381402, issued on May 13, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 17, 2024.