Individual
JACQUELYN LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PINE 1 WEST, PHILADELPHIA, PA 19107-6130
(215) 829-7817
Mailing address
800 SPRUCE ST, PINE 1 WEST, PHILADELPHIA, PA 19107-6130
(215) 829-7817
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP014594
PA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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