Individual
FAITH PETTYJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 967-2171
Mailing address
3831 ALBEMARLE AVE, DREXEL HILL, PA 19026-2801
(267) 275-1755
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023749
PA
Other
Enumeration date
05/20/2021
Last updated
11/13/2023
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