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Jian Li
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1114397387

Jian Li is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Jian Li practices in Philadelphia, PA. The NPI Number for Jian Li is 1114397387 and holds a License No. SP015091 (Pennsylvania).

The current practice location address for Jian Li is 4050 S 26Th St, Philadelphia, PA and can be reached out via phone at 267-463-2284.

Location: 4050 S 26Th St, Philadelphia, PA, 19112-1613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114397387
Provider Name
Jian Li
Credential
Provider Entity Type
Individual
Gender
Female
Address
4050 S 26Th St, Philadelphia, PA, 19112-1613
Phone Number
267-463-2284
Fax Number
Provider Enumeration Date
10/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103072759 05 PA
institution
Provider Business Practice Location Address Details
Address
4050 S 26Th St
City
Philadelphia
State
Pennsylvania
Zip
19112-1613
Phone Number
267-463-2284
Fax Number
person
Provider Business Mailing Address Details
Address
4050 S 26Th St
City
Philadelphia
State
Pennsylvania
Zip
19112-1613
Phone Number
267-463-2284
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP015091 (Pennsylvania)
Definition
Definition to come...
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