Individual
JEAN BYGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(215) 955-7737
Mailing address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009051
PA
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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