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Jennifer Costello, AGACNP
Acute Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1346711223

Jennifer Costello is an Acute Care Nurse Practitioner based in Philadelphia, PA and is specialized in Acute Care. Jennifer Costello practices in Philadelphia, PA and has the professional credentials of AGACNP. The NPI Number for Jennifer Costello is 1346711223 and holds a License No. SP019737 (Pennsylvania).

The current practice location address for Jennifer Costello is 111 S 11Th St, Philadelphia, PA and can be reached out via phone at 215-955-4535 and via fax at 215-503-5939.

Location: 111 S 11Th St, Philadelphia, PA, 19128-3712
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Provider Profile Details
NPI Number
1346711223
Provider Name
Jennifer Costello
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
111 S 11Th St, Philadelphia, PA, 19128-3712
Phone Number
215-955-4535
Fax Number
215-503-5939
Provider Enumeration Date
12/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP019737 01 PA STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-4535
Fax Number
215-503-5939
person
Provider Business Mailing Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-4535
Fax Number
215-503-5939
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
SP019737 (Pennsylvania)
Definition
Definition to come...
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