Individual provider · Type 1 NPI
William Derrick Jr., FNP-C
Family Nurse Practitioner · Philadelphia, PA
NPI number
1477958049
Active
Practice location
2418 E York St
Philadelphia, PA 19125-3006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP126699 (TX) |
| Family Nurse Practitioner | 363LF0000X | SP033376 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477958049
William Derrick Jr., FNP-C's National Provider Identifier is 1477958049, issued on Oct 25, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 13, 2026.