Individual
JENNIFER ANNE CAPOBIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 ARCH ST APT 717, PHILADELPHIA, PA 19103-2007
(610) 368-8802
Mailing address
1600 ARCH ST APT 717, PHILADELPHIA, PA 19103-2007
(610) 368-8802
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP022640
PA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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