Individual provider · Type 1 NPI

Lisa Jang, RN, BSN, MSN

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1811488091 Active

Practice location

3400 Civic Center Blvd Dept General
Philadelphia, PA 19104-5127

Call (215) 509-1000 Map

Mailing address

7 Barleycorn Dr
Broomall, PA 19008-4428

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP018813 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1811488091

Lisa Jang, RN, BSN, MSN's National Provider Identifier is 1811488091, issued on May 23, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on May 23, 2018.