Individual
COLLEEN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
230 N BROAD ST FL 15, PHILADELPHIA, PA 19102-1121
(215) 762-7735
(215) 762-4877
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-2433
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019531
PA
Other
Enumeration date
12/16/2018
Last updated
06/03/2021
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