Individual provider · Type 1 NPI
Jessica Penn
Critical Care Medicine Nurse Practitioner · Philadelphia, PA
NPI number
1356266779
Active
Practice location
3400 Spruce St
Philadelphia, PA 19104-4238
Mailing address
113 Iron Master Rd
Cherry Hill, NJ 08034-3363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | SP036675 (PA) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1356266779
Jessica Penn's National Provider Identifier is 1356266779, issued on Aug 13, 2026. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 13, 2026.