Individual
MRS. JESSICA P KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 590-1000
Mailing address
884 N TAYLOR ST, PHILADELPHIA, PA 19130-1945
(203) 314-6665
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN584425
PA
363L00000X
Nurse Practitioner
LJ-0000346
DE
363LP0200X
Pediatric Nurse Practitioner
Primary
SP011129
PA
Other
Enumeration date
04/18/2011
Last updated
03/27/2019
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