Individual
JESSICA ROSE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-3630
Mailing address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP019608
PA
Other
Enumeration date
11/15/2018
Last updated
04/15/2024
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