Erickson, Jennifer Anne

Erickson, Jennifer Anne is an individual health care provider with primary practice located at 7602 Central Ave Suite 101, Philadelphia PA 19111-2443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Erickson, Jennifer Anne can be contacted via phone (215) 969-2900.

Contact Information

Primary practice address
7602 Central Ave Suite 101 Philadelphia PA 19111-2443
Phone: (215) 969-2900
Fax: (215) 969-1856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP007259 Pennsylvania

Profile Details

NPI number 1992856413
LBN Legal business name Erickson, Jennifer Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Apr 3rd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992856413 NPPES
Pennsylvania Other SM1374026 PENNSYLVANIA BLUESHIELD
Pennsylvania Other 500025007 PENNSYLVANIA BLUESHIELD
Pennsylvania Other 07791408 PENNSYLVANIA BLUESHIELD

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