Individual
JINAL KAUSHIK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, AGACNP-BC
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
36 HONEYSUCKLE LN, LEVITTOWN, PA 19055-1335
(512) 909-6720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
944344
TX
163W00000X
Registered Nurse
RN783758
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030158
PA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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