Individual
MRS. JENNIFER ANNE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7602 CENTRAL AVE, SUITE 101, PHILADELPHIA, PA 19111-2443
(215) 969-2900
(215) 969-1856
Mailing address
2450 W HUNTING PARK AVE, 2ND FLOOR, PHILADELPHIA, PA 19129-1302
(215) 926-9022
(215) 226-8286
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP007259
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07791408
PROVIDER TYPE 57 ID NUMBE
PA
01
—
500025007
RAILROAD MEDICARE #
PA
01
—
SM1374026
PENNSYLVANIA BLUESHIELD
PA
Enumeration date
01/12/2007
Last updated
04/03/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us