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JAMIE-MARIE DEFELICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4623 SPRUCE ST, PHILADELPHIA, PA 19139
(215) 474-6100
Mailing address
4623 SPRUCE ST, PHILADELPHIA, PA 19139-4542
(215) 474-6100

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
SP020374
PA

Other

Enumeration date
06/13/2019
Last updated
09/03/2019
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