Individual
MS. JACQUELINE ELYSE POLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
111 SOUTH 11TH ST, GIBBON BUILDING, SUITE G6210, PHILADELPHIA, PA 19107
(215) 955-8304
Mailing address
1002 N 2ND ST UNIT 411, PHILADELPHIA, PA 19123-1684
(215) 595-7789
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP028556
PA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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