Individual
JESSICA MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 11TH ST STE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST STE 8490, PHILADELPHIA, PA 19107-4870
(215) 955-6161
(215) 923-5507
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19822100
NJ
367500000X
Certified Registered Nurse Anesthetist
18542
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00906700
NJ
367500000X
Certified Registered Nurse Anesthetist
RN700195
PA
Other
Enumeration date
12/10/2015
Last updated
10/23/2025
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