Active NPIIndividual provider

Jessica Acevedo

Nurse Practitioner in Philadelphia, Pennsylvania

NPI Number1912395831
Practice location
5501 Old York RD, Klein Building-Suite 410, Philadelphia, PA 19141-3018
Fax
215-456-6967
Last updated
December 30, 2014

Jessica Acevedo is a Nurse Practitioner based in Philadelphia, PA. Jessica Acevedo practices in Philadelphia, PA. The NPI Number for Jessica Acevedo is 1912395831 and holds a License No. SP014568 (PA). The current practice location address for Jessica Acevedo is 5501 Old York RD, Klein Building-Suite 410, Philadelphia, PA 19141-3018 and can be reached out via phone at 215-456-6990 and via fax at 215-456-6967.

Provider Profile Details

NPI Number
1912395831
Provider Name
Jessica Acevedo
Provider Entity Type
Individual
Gender
Female
Address
5501 Old York RD, Klein Building-Suite 410, Philadelphia, PA 19141-3018
Phone Number
215-456-6990
Fax Number
215-456-6967
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2014
Last Update Date
December 30, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
5501 Old York RD
Klein Building-Suite 410
Philadelphia, PA 19141-3018
Zip
19141-3018
Phone Number
215-456-6990
Fax Number
215-456-6967
Philadelphia, PA 19141Get directions →

Provider Business Mailing Address Details

Address
5501 Old York RD
Korman Building-Suite 202
Philadelphia, PA 19141-3018
City
Philadelphia
State
PA
Zip
19141-3018
Phone Number
215-456-6990
Fax Number
215-456-6967

License Information

License Number
SP014568
License State
PA
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Acevedo?

The NPI number of Jessica Acevedo is 1912395831. It was assigned on December 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Jessica Acevedo?

Jessica Acevedo is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in PA under license number SP014568.

Where does Jessica Acevedo practice?

The practice location is 5501 Old York RD, Klein Building-Suite 410, Philadelphia, PA 19141-3018. The office can be reached at 215-456-6990 (phone) or 215-456-6967 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912395831 directly on the NPPES registry website.

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