Individual
ILCY MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN594757
PA
363LF0000X
Family Nurse Practitioner
Primary
26NJ01231300
NJ
Other
Enumeration date
03/31/2010
Last updated
01/18/2026
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