Individual provider · Type 1 NPI

Jessica Rose

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1679101786 Active

Practice location

1740 South St Ste 200
Philadelphia, PA 19146-1514

Mailing address

2400 Chestnut St Apt 2709
Philadelphia, PA 19103-4324

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP021412 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1679101786

Jessica Rose's National Provider Identifier is 1679101786, issued on Apr 1, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 1, 2020.