Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | SP022534 | PA |
NPI | 1245816537 |
---|---|
Provider Name | Jade Purcell |
First Address | Philadelphia, PA 19115-4824 |
Second Address | Abington, PA 19001-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2021 |
Last Update Date | 23/03/2021 |