Individual
JACQUELYN LAUREN OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
2840 HAVERFORD RD, ARDMORE, PA 19003-1715
(215) 479-5466
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP025053
PA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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