Individual provider · Type 1 NPI
Mary Jepsen, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1720337876
Active
Practice location
2301 N 29th St Ste 500
Philadelphia, PA 19132-3454
Fax (267) 388-4659
Mailing address
PO Box 746722
Atlanta, GA 30374-6722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2277482 (MA) |
| Registered Nurse | 163W00000X | RN699604 (PA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2277482 (MA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP018290 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
8 other providers at this address
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- Luke Alexander Hallman, MDFamily Medicine Physician Philadelphia, PA NPI 1114618931
- Micalove Raphael, NPFamily Nurse Practitioner Philadelphia, PA NPI 1386415867
- Stephania Dottin, CRNPPrimary Care Nurse Practitioner Philadelphia, PA NPI 1346809118
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About NPI 1720337876
Mary Jepsen, PMHNP-BC's National Provider Identifier is 1720337876, issued on Sep 5, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 21, 2022.