Individual
MS. JADE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
515 W CHELTEN AVE, PHILADELPHIA, PA 19144-4414
(215) 848-6700
Mailing address
1472 MCKINLEY ST, PHILADELPHIA, PA 19149-2705
(267) 257-0093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN556188
PA
363LF0000X
Family Nurse Practitioner
Primary
SP015890
PA
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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