Individual provider · Type 1 NPI

Jason Anthony Checchia, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1487254744 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Mailing address

1104 Johnston St
Philadelphia, PA 19148-4917

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X2019010539 (PA)
Primary Care Nurse Practitioner 363LP2300X2019010539 (PA)
Adult Health Nurse Practitioner Primary 363LA2200X2019010539 (PA)

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About NPI 1487254744

Jason Anthony Checchia, CRNP's National Provider Identifier is 1487254744, issued on Oct 27, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 27, 2020.