Individual
JILL MARIE MINEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8000
Mailing address
1226 MCKEAN ST, PHILADELPHIA, PA 19148-2208
(215) 430-3048
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021428
PA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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