Individual
JAIME HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(610) 613-5074
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(267) 438-6854
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
SP029794
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP029794
PA
Other
Enumeration date
06/14/2024
Last updated
02/11/2025
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