Individual
MRS. GWYN M. VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
330 S 9TH ST, PHILADELPHIA, PA 19107-6153
(215) 829-6500
Mailing address
330 S 9TH ST, PHILADELPHIA, PA 19107-6153
(215) 829-6500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP003377B
PA
Other
Enumeration date
01/23/2006
Last updated
07/30/2015
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