Individual
JAMIE LEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, PCAM 1ST FLR, PHILADELPHIA, PA 19104-5127
(215) 662-3202
Mailing address
3400 CIVIC CENTER BLVD, PCAM 1ST FLR, PHILADELPHIA, PA 19104-5127
(215) 662-3202
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP013327
PA
Other
Enumeration date
12/11/2013
Last updated
10/02/2020
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