Individual
MRS. JENNIFER CHRISTINE CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
915 OLD FERN HILL RD STE 5, WEST CHESTER, PA 19380-4269
(610) 696-2850
(610) 696-7159
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP020250
PA
Other
Enumeration date
05/01/2019
Last updated
07/07/2023
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