Individual
JACQUELINE T. HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, 4TH FLOOR, PHILADELPHIA, PA 19104-5127
(215) 349-8222
Mailing address
3400 CIVIC CENTER BLVD, 4TH FLOOR, PHILADELPHIA, PA 19104-5127
(215) 349-8222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP006947C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500028091
RAILROAD MEDICARE
PA
Enumeration date
02/28/2006
Last updated
12/12/2014
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