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Mrs. Jennifer Anne Erickson, NP
Gerontology Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1992856413

Jennifer Anne Erickson is a Gerontology Nurse Practitioner based in Philadelphia, PA and is specialized in Gerontology. Jennifer Anne Erickson practices in Philadelphia, PA and has the professional credentials of NP. The NPI Number for Jennifer Anne Erickson is 1992856413 and holds a License No. SP007259 (Pennsylvania).

The current practice location address for Jennifer Anne Erickson is 7602 Central Ave, Philadelphia, PA and can be reached out via phone at 215-969-2900 and via fax at 215-969-1856. You can also correspond with Jennifer Anne Erickson through the mailing address at 2450 W HUNTING PARK AVE, PHILADELPHIA, PA - 19129-1302 (mailing address contact number: 215-926-9022).

Location: 7602 Central Ave, Philadelphia, PA, 19129-1302
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Provider Profile Details
NPI Number
1992856413
Provider Name
Jennifer Anne Erickson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7602 Central Ave, Philadelphia, PA, 19129-1302
Phone Number
215-969-2900
Fax Number
215-969-1856
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SM1374026 01 PA PENNSYLVANIA BLUESHIELD
500025007 01 PA RAILROAD MEDICARE #
07791408 01 PA PROVIDER TYPE 57 ID NUMBE
institution
Provider Business Practice Location Address Details
Address
7602 Central Ave
City
State
Zip
19111-2443
Phone Number
215-969-2900
Fax Number
215-969-1856
person
Provider Business Mailing Address Details
Address
2450 W Hunting Park Ave
City
State
Zip
19129-1302
Phone Number
215-926-9022
Fax Number
215-226-8286
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
SP007259 (Pennsylvania)
Definition
Definition to come...
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