Individual
GENNIFER GENE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N 3RD ST # 164, PHILADELPHIA, PA 19106-4517
(732) 915-2687
Mailing address
51 N 3RD ST # 164, PHILADELPHIA, PA 19106-4517
(732) 915-2687
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN615547
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN615547
PA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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