Individual provider · Type 1 NPI
Jennifer Mary Spellman, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1407847429
Active
Practice location
34th & Civic Center Blvd
Philadelphia, PA 19104
Fax (215) 590-3986
Mailing address
418 Sylvan Ln
Devon, PA 19333-1532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN-275090-L (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1407847429
Jennifer Mary Spellman, CRNP's National Provider Identifier is 1407847429, issued on Oct 31, 2005. 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 13, 2026.