Individual
JACQUELINE DENISE LIBERATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., RN, MSN, CPNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, ROBERT WOOD BUILDING 1ST FLOOR, PHILADELPHIA, PA 19104-5127
(215) 590-3440
Mailing address
221 GREENBRIAR LN, HAVERTOWN, PA 19083-2847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR11548300
NJ
163W00000X
Registered Nurse
RN543487
PA
163WL0100X
Lactation Consultant (Registered Nurse)
L-56479
PA
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008107
PA
Other
Enumeration date
10/25/2005
Last updated
11/17/2014
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