Individual
JEAN M MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, RAVDIN 2ND FL, PHILADELPHIA, PA 19104-4238
(215) 662-2354
Mailing address
3400 SPRUCE ST, RAVDIN 2ND FL, PHILADELPHIA, PA 19104-4238
(215) 662-2354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00176700
NJ
363LF0000X
Family Nurse Practitioner
SP009363
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251224
—
NJ
Enumeration date
07/03/2007
Last updated
12/20/2024
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