Individual
MRS. JEANNIE M PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MSN, CRNP
Contact information
Practice address
8125 STENTON AVE, PHILADELPHIA, PA 19150-3530
(215) 248-7560
(215) 248-7564
Mailing address
215 E BRINGHURST ST, PHILADELPHIA, PA 19144-1719
(215) 844-1020
(215) 844-2702
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN561451
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009782
PA
363LG0600X
Gerontology Nurse Practitioner
SP009783
PA
Other
Enumeration date
02/25/2008
Last updated
12/19/2011
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