Individual provider · Type 1 NPI
Jacqueline Denise Liberati, B.S., RN, MSN, CPNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1902896632
Active
Practice location
3400 Civic Center Blvd, Robert Wood Building 1st Floor
Philadelphia, PA 19104-5127
Mailing address
221 Greenbriar Ln
Havertown, PA 19083-2847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN543487 (PA) |
| Registered Nurse | 163W00000X | 26NR11548300 (NJ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP008107 (PA) |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-56479 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1902896632
Jacqueline Denise Liberati, B.S., RN, MSN, CPNP's National Provider Identifier is 1902896632, issued on Oct 25, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 17, 2014.