Individual
JESULA JEAN-CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4427
(215) 344-7578
Mailing address
2301 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-4427
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
SP031629
PA
2084P0802X
Addiction Psychiatry Physician
Primary
SP031629
PA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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