| NPI | 1346715562 |
|---|---|
| Doing Business As | JCP ANCILLARY PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | DONNA OSTRANDER Contracting Manager 215-955-2021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2022-10-14 |