Individual
JANELLE SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4865 MARKET ST, PHILADELPHIA, PA 19139-3508
(267) 425-9800
Mailing address
227 E OAK ST, NORRISTOWN, PA 19401-4044
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP031230
PA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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