# VIA AFFILIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508699364
- **Authorized official:** KRISTIN JAYNE (REVENUE DIRECTOR)
- **Authorized official phone:** (267) 370-5296

## Contact information

- **Practice address:** 599 W STATE ST STE 307, DOYLESTOWN, PA 18901-2567
- **Practice address phone:** (215) 345-2489
- **Practice address fax:** (215) 489-7233
- **Mailing address:** PO BOX 829641, PHILADELPHIA, PA 19182-9641
- **Mailing address phone:** (267) 370-5296
- **Mailing address fax:** (215) 230-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 09/05/2025