Individual provider · Type 1 NPI

Jenna Lauren Fleekop

Nurse Practitioner · Philadelphia, PA

NPI number 1821979592 Active

Practice location

925 Chestnut St Fl 7
Philadelphia, PA 19107-4240

Mailing address

925 Chestnut St Fl 6
Philadelphia, PA 19107-4204

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP033433 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821979592

Jenna Lauren Fleekop's National Provider Identifier is 1821979592, issued on Sep 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 10, 2025.