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Jacqueline Anne Rooney-udicious, CRNP
Pediatric Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1902033772

Jacqueline Anne Rooney-udicious is a Pediatric Nurse Practitioner based in Philadelphia, PA and is specialized in Pediatrics. Jacqueline Anne Rooney-udicious practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Jacqueline Anne Rooney-udicious is 1902033772 and holds a License No. SP009936 (Pennsylvania).

The current practice location address for Jacqueline Anne Rooney-udicious is 3401 Civic Center Boulevard, Philadelphia, PA and can be reached out via phone at 215-590-1000.

Location: 3401 Civic Center Boulevard, Philadelphia, PA, 19104
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Provider Profile Details
NPI Number
1902033772
Provider Name
Jacqueline Anne Rooney-udicious
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
3401 Civic Center Boulevard, Philadelphia, PA, 19104
Phone Number
215-590-1000
Fax Number
Provider Enumeration Date
06/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN565963 01 PA PA. RN LICENSE
10225936440001 05 PA
SP009936 01 PA PA CERTIFIED NURSE PRACTITIONER LICENSE
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Boulevard
City
State
Zip
19104
Phone Number
215-590-1000
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Civic Center Boulevard
City
State
Zip
19104
Phone Number
215-590-1000
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
SP009936 (Pennsylvania)
Definition
Definition to come...
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