Individual
JASMINE GOSHIL JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2835 TYSON AVE, PHILADELPHIA, PA 19149-1415
(215) 624-6162
Mailing address
2835 TYSON AVE, PHILADELPHIA, PA 19149-1415
(215) 790-3290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018685
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018685
PA
Other
Enumeration date
10/08/2018
Last updated
04/13/2023
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