Individual
JESSICA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1244 FORT WASHINGTON AVE, SUITE E2, FORT WASHINGTON, PA 19034-1743
(215) 646-1686
Mailing address
1244 FORT WASHINGTON AVE, FORT WASHINGTON, PA 19034-1743
(215) 646-1686
(215) 628-4956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN565486
PA
363LF0000X
Family Nurse Practitioner
Primary
SP012796
PA
Other
Enumeration date
07/19/2013
Last updated
07/25/2013
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