# JESSICA THUY-NHU GENETTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1932968617
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | SP029126 | PA | Yes |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 04/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1043084090001 | — | PA |
| 01 | — | 6N0846 | MEDICARE | PA |