Individual provider · Type 1 NPI

Jolly S. Varghese, CRNP

Acute Care Nurse Practitioner · Philadelphia, PA

NPI number 1902390461 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-5864 Map

Fax (215) 707-6867

Mailing address

2450 W Hunting Park Ave
Philadelphia, PA 19129-1302

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XSP018875 (PA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1902390461

Jolly S. Varghese, CRNP's National Provider Identifier is 1902390461, issued on Jun 19, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 5, 2021.