Individual
JESSICA MCWHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(610) 716-3360
Mailing address
1908 WAVERLY ST, PHILADELPHIA, PA 19146-1425
(610) 716-3360
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP022926
PA
363LP0200X
Pediatric Nurse Practitioner
SP022926
PA
Other
Enumeration date
12/17/2020
Last updated
08/11/2021
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