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Individual

JESSEGNIA A VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
101 S BRYN MAWR AVE STE 201, BRYN MAWR, PA 19010-3123
(610) 520-0700
(610) 520-0744
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN11012833
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
SP016856
PA

Other

Enumeration date
11/24/2016
Last updated
10/25/2023
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