Individual
JILLIAN MCINERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
230 W WASHINGTON SQ STE 320A, PHILADELPHIA, PA 19106-3585
(215) 829-6088
(215) 829-7000
Mailing address
230 W WASHINGTON SQ STE 320A, PHILADELPHIA, PA 19106-3585
(215) 829-6088
(215) 829-7000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP016017
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103156278
—
PA
Enumeration date
07/07/2015
Last updated
04/29/2019
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