JENNIFER COSTELLO

PHILADELPHIA, PA
NPI1346711223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  sp019737)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
JENNIFER COSTELLO AGACNP
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-955-4535
Mailing Address
JENNIFER COSTELLO AGACNP
5250 RIDGE AVE
PHILADELPHIA, PA 19128-3712
Phone number: 570-259-0848
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