Individual provider · Type 1 NPI

Jackie W. Speare

Licensed Practical Nurse · Philadelphia, PA

NPI number 1437025327 Active

Practice location

7248 Elmwood Ave
Philadelphia, PA 19142-1533

Call (267) 292-2876 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN322443 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1437025327

Jackie W. Speare's National Provider Identifier is 1437025327, issued on Oct 16, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 16, 2025.