Individual
JENNIFER WINBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2 INDUSTRIAL BLVD STE 200, PAOLI, PA 19301-1648
(610) 647-2400
(610) 647-3902
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
(610) 647-2400
(610) 647-3902
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028744
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042646540002
—
PA
Enumeration date
11/21/2023
Last updated
04/04/2025
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