Jessica O'driscoll
Nurse Practitioner - Gerontology
7335 Frankford Ave
Philadelphia
, Pennsylvania 19136-3929
Jessica O'driscoll
Nurse Practitioner - Gerontology
7335 Frankford Ave
Philadelphia
, Pennsylvania 19136-3929
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jessica O'driscoll
- 7335 Frankford Ave
- Philadephia, PA
- Zip : 19136
- Phone :
Second Address
- Jessica O'driscoll
- 7335 Frankford Ave
- Philadelphia, PA
- Zip : 19136-3929
- Phone : (215) 335-1220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 017266 | PA |
National Provider Identifier
| NPI | 1053846428 |
|---|---|
| Provider Name | Jessica O'driscoll |
| First Address | Philadephia, PA 19136 |
| Second Address | Philadelphia, PA 19136-3929 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2017 |
| Last Update Date | 24/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.