# JEFFERSON UNIVERSITY PHYSCIANS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JEFFERSON UNIVERSITY PHYSCIANS
- **Other names:** Jefferson Primary Care at the Navy Yard
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912477324
- **Legal business name:** JEFFERSON UNIVERSITY PHYSCIANS
- **Authorized official:** VALERIE YVETTE BRIGHT-BUTLER (ASSOC DIRECTOR OF ENROLLMENT)
- **Authorized official phone:** (215) 955-9457

## Contact information

- **Practice address:** 3 CRESCENT DR FL 2, PHILADELPHIA, PA 19112-1016
- **Practice address phone:** (215) 503-3210
- **Practice address fax:** (215) 503-7136
- **Mailing address:** PO BOX 828937, PHILADELPHIA, PA 19182-8937
- **Mailing address phone:** (215) 503-1240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/28/2018
- **Last updated:** 10/14/2022