Individual
KATIE JEAN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1408 S BROAD ST, PHILADELPHIA, PA 19146-4808
(215) 467-3515
Mailing address
1429 GERMANTOWN AVE UNIT 5A, PHILADELPHIA, PA 19122-3784
(740) 644-2782
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP201299
ME
Other
Enumeration date
07/21/2021
Last updated
07/30/2024
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