Individual provider · Type 1 NPI
Jacquelyn Levin
Gerontology Nurse Practitioner · Philadelphia, PA
NPI number
1356720403
Active
Practice location
800 Spruce St, Pine 1 West
Philadelphia, PA 19107-6130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | SP014594 (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1356720403
Jacquelyn Levin's National Provider Identifier is 1356720403, issued on May 22, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Philadelphia, PA. The record was last updated on May 22, 2015.