Individual
JACQUELINE B KINSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
515 W CHELTEN AVE, PHILADELPHIA, PA 19144-4414
(215) 848-6700
Mailing address
515 W CHELTEN AVE, PHILADELPHIA, PA 19144-4414
(215) 848-6700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LA2100X
—
PA
05
—
363LA2200X
—
PA
05
—
363LC1500X
—
PA
05
—
363LP2300X
—
PA
Enumeration date
08/26/2011
Last updated
08/26/2011
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