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Jean D Luciano, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1174743116

Jean D Luciano is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Jean D Luciano practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Jean D Luciano is 1174743116 and holds a License No. SP006643B (Pennsylvania).

The current practice location address for Jean D Luciano is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-662-3606.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174743116
Provider Name
Jean D Luciano
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3400 Civic Center Blvd, Philadelphia, PA, 19104-5127
Phone Number
215-662-3606
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-5127
Phone Number
215-662-3606
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-5127
Phone Number
215-662-3606
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP006643B (Pennsylvania)
Definition
Definition to come...
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