Countess, Jacqueline

Countess, Jacqueline is an individual health care provider with primary practice located at 3400 Spruce St 4Th Floor Silverstein- Surgery, Philadelphia PA 19104-4238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Countess, Jacqueline can be contacted via phone (215) 662-7870.

Contact Information

Primary practice address
3400 Spruce St 4Th Floor Silverstein- Surgery Philadelphia PA 19104-4238
Phone: (215) 662-7870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP016615 Pennsylvania

Profile Details

NPI number 1700336930
LBN Legal business name Countess, Jacqueline
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2016
Last updated Oct 13th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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