Individual
COURTNEY FERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5500
Mailing address
5015 HAZEL AVE, PHILADELPHIA, PA 19143-1621
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP018486
PA
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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