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Individual

JANE Y FOREMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
(215) 612-2658
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
(215) 612-2658

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012485
PA
363LC0200X
Critical Care Medicine Nurse Practitioner
26NR07373700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NR07373700
STATE LICENSE
NJ
Enumeration date
04/12/2011
Last updated
02/14/2024
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