Individual provider · Type 1 NPI

Katie Jean Pearson, NP

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1306419072 Active

Practice location

1408 S Broad St
Philadelphia, PA 19146-4808

Mailing address

1429 Germantown Ave Unit 5A
Philadelphia, PA 19122-3784

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XCNP201299 (ME)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1306419072

Katie Jean Pearson, NP's National Provider Identifier is 1306419072, issued on Jul 21, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 30, 2024.