Individual
JADE BRAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LANCASTER AVE, THE HEART PAVILLION MEZZANINE LEVEL, WYNNEWOOD, PA 19096-3450
(484) 476-1000
(484) 476-9000
Mailing address
332 W HORTTER ST, PHILADELPHIA, PA 19119-3152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP034523
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN788101
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP034523
PA
Other
Enumeration date
11/04/2025
Last updated
02/09/2026
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