Individual
JESSICA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4324 TACKAWANNA ST, PHILADELPHIA, PA 19124-4029
(888) 352-7771
Mailing address
4324 TACKAWANNA ST, PHILADELPHIA, PA 19124-4029
(888) 352-7771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN292678
PA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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