Individual
JORDAN ELIZABETH VITELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3737 MARKET STREET, 8TH FLOOR, PHILADELPHIA, PA 19104-5501
(215) 662-3487
(215) 349-5534
Mailing address
3737 MARKET STREET, 8TH FLOOR, PHILADELPHIA, PA 19104-5501
(215) 662-3487
(215) 349-5534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063847
PA
Other
Enumeration date
05/09/2022
Last updated
03/23/2026
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