Individual provider · Type 1 NPI
Jamie-Marie Defelice, FNP-BC
Primary Care Nurse Practitioner · Philadelphia, PA
NPI number
1992364889
Active
Practice location
4623 Spruce St
Philadelphia, PA 19139
Other practice locations
- 4623 Spruce St, Philadelphia, PA 19139-4542 · (215) 474-6100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP020374 (PA) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1992364889
Jamie-Marie Defelice, FNP-BC's National Provider Identifier is 1992364889, issued on Jun 13, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 3, 2019.