Individual
JACQUELINE M REDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3601
(215) 707-1576
Mailing address
2450 W HUNTING PARK AVE, PHYSICIANS OFFICE BUILDING, SUITE 208, PHILADELPHIA, PA 19129-1302
(215) 707-3601
(215) 707-1576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012724
PA
363LA2100X
Acute Care Nurse Practitioner
SP012724
PA
Other
Enumeration date
03/07/2013
Last updated
12/27/2017
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