Individual
JESSICA BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 N DELAWARE AVE, 300 D, PHILADELPHIA, PA 19125-4330
(215) 287-2114
Mailing address
1080 N DELAWARE AVE, 300D, PHILADELPHIA, PA 19125-4330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN673333
PA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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