Individual provider · Type 1 NPI

Jacquelyn Patrice Squares, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number 1427766872 Active

Practice location

3400 Civic Center Blvd, Pcam 3 Rd Floor
Philadelphia, PA 19104-5158

Call (215) 662-6397 Map

Mailing address

312 Forest Hills Ave
Philadelphia, PA 19116-1010

Other practice locations

  • 3400 Spruce St, Philadelphia, PA 19104-4238 · (215) 662-4859

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP026487 (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 1427766872

Jacquelyn Patrice Squares, CRNP's National Provider Identifier is 1427766872, issued on Nov 14, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 14, 2022.