Individual
JENNIFER ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 983-4112
Mailing address
3930 TRURO CT, INDIANAPOLIS, IN 46228-6783
(317) 258-0279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28249909A
IN
376K00000X
Nurse's Aide
48-01-06-03189
IN
Other
Enumeration date
02/27/2008
Last updated
08/02/2024
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