Individual
MRS. JENNIFER M SIEGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, 5TH FLOOR WOOD BUILDING, PHILADELPHIA, PA 19104-4306
(215) 590-4075
(215) 590-9045
Mailing address
159 PORTSMOUTH CIR, GLEN MILLS, PA 19342-2601
(215) 590-4075
(215) 590-9045
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN-517973-L
PA
Other
Enumeration date
05/26/2006
Last updated
07/23/2007
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