Individual
JAMIE LYN PASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
(215) 829-6700
Mailing address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
(215) 829-6700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP024935
PA
363LF0000X
Family Nurse Practitioner
Primary
SP024935
PA
Other
Enumeration date
02/02/2022
Last updated
03/18/2025
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