Organization
THOMAS JEFFERSON UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA A MOSS CRNP (NURSE PRACTITIONER)
(215) 955-8435
Entity
Organization
Contact information
Practice address
1015 CHESTNUT ST STE 1321, PHILADELPHIA, PA 19107-4313
(215) 955-8354
(215) 955-2342
Mailing address
, 1015 CHESTNUT STREET, SUITE 1321, PH19107ILADELPHIA, PA 19107
(215) 955-8354
(215) 955-2342
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP007945
PA
363LP0200X
Pediatric Nurse Practitioner
VP005103D
PA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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