Individual
JESSY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
(215) 335-6000
Mailing address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015883
PA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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