Individual
JAMIE L. SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
34TH STREET AND CIVIC CENTER BOULEVARD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1867
(215) 590-5824
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR14707200
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN553504
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246162EJL
MEDICARE PTAN
PA
Enumeration date
06/13/2012
Last updated
05/14/2024
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