Individual
MS. JENNIFER AIMEE SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1939 W CHELTENHAM AVE, ELKINS PARK, PA 19027-1046
(215) 884-5715
Mailing address
1939 W CHELTENHAM AVE, ELKINS PARK, PA 19027-1046
(215) 884-5715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008462
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008462
PA
Other
Enumeration date
09/01/2006
Last updated
03/20/2026
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