Individual
JILL MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
1108 PENMORE PL, JENKINTOWN, PA 19046-1239
(216) 407-9686
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN702769
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP018701
PA
Other
Enumeration date
02/16/2018
Last updated
04/26/2023
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