JACQUELEEN WISE

PHILADELPHIA, PA
NPI1396382396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP021229)
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
JACQUELEEN WISE CRNP
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
Mailing Address
JACQUELEEN WISE CRNP
117 BURGESS RD
COLLEGEVILLE, PA 19426-1784
Phone number: 215-694-2780
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