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Individual

MISS JAMIE KAKKANATTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
833 CHESTNUT ST STE 205, PHILADELPHIA, PA 19107-4426
(215) 955-6835
Mailing address
833 CHESTNUT ST STE 205, PHILADELPHIA, PA 19107-4426
(215) 955-6835
(215) 923-5778

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP022189
PA

Other

Enumeration date
10/08/2020
Last updated
05/15/2023
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