Individual
JESSICA ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD, KLEIN BUILDING-SUITE 410, PHILADELPHIA, PA 19141-3018
(215) 456-6990
(215) 456-6967
Mailing address
5501 OLD YORK RD, KORMAN BUILDING-SUITE 202, PHILADELPHIA, PA 19141-3018
(215) 456-6990
(215) 456-6967
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014568
PA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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