person
Mrs. Jessy Tom Pattaniyil, NPC
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1780827816

Jessy Tom Pattaniyil is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Jessy Tom Pattaniyil practices in Philadelphia, PA and has the professional credentials of NPC. The NPI Number for Jessy Tom Pattaniyil is 1780827816 and holds a License No. SP010182 (Pennsylvania).

The current practice location address for Jessy Tom Pattaniyil is 6501 Harbison Ave, Philadelphia, PA and can be reached out via phone at 215-333-4300 and via fax at 215-333-2044.

Location: 6501 Harbison Ave, Philadelphia, PA, 19149-2912
person
Provider Profile Details
NPI Number
1780827816
Provider Name
Jessy Tom Pattaniyil
Credential
NPC
Provider Entity Type
Individual
Gender
Female
Address
6501 Harbison Ave, Philadelphia, PA, 19149-2912
Phone Number
215-333-4300
Fax Number
215-333-2044
Provider Enumeration Date
04/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007278000 01 PA TPI MEDICAID GROUP ID
597586 01 PA TPI MEDICARE GROUP
CD4829 01 PA TPI RAILROAD MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
6501 Harbison Ave
City
State
Zip
19149-2912
Phone Number
215-333-4300
Fax Number
215-333-2044
person
Provider Business Mailing Address Details
Address
6501 Harbison Ave
City
State
Zip
19149-2912
Phone Number
215-333-4300
Fax Number
215-333-2044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
SP010182 (Pennsylvania)
Definition
Definition to come...
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