Individual
SHAREESE JAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N HORTON ST, PHILADELPHIA, PA 19139-1118
(609) 665-0690
Mailing address
220 N HORTON ST, PHILADELPHIA, PA 19139-1118
(609) 665-0690
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
20089898
PA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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