Individual provider · Type 1 NPI
Jessica Staschak, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1871609651
Active
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Fax (215) 590-1501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP008191 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1871609651
Jessica Staschak, CRNP's National Provider Identifier is 1871609651, issued on Aug 22, 2006. 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 9, 2025.