Individual
JASMIN S BO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 316-5151
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 242-1956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP026571
PA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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