Individual
JESSICA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
610 OLD ROAD, SUITE 400, JENKINTOWN, PA 19046
(215) 820-3235
Mailing address
610 OLD YORK ROAD, SUITE 400, JENKINTOWN, PA 19046
(215) 820-3235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN615380
PA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN615380
PA
Other
Enumeration date
06/30/2022
Last updated
07/01/2024
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