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Individual

JENNA YAFFA GOLDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
2501 WASHINGTON AVE APT 214, PHILADELPHIA, PA 19146-3950
(718) 578-2533

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
383297
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
SP025204
PA

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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