Individual
JENNIFER LYNN BASCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5593
(484) 227-1476
Mailing address
100 YEARSLEY MILL RD, MEDIA, PA 19063-5593
(484) 227-1476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN677397
PA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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