Individual
JENNIFER MARY SPELLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH & CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-3440
(215) 590-3986
Mailing address
418 SYLVAN LN, DEVON, PA 19333-1532
(610) 995-0503
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN-275090-L
PA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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