Liberati, Jacqueline Denise

Liberati, Jacqueline Denise is an individual health care provider with primary practice located at 3400 Civic Center Blvd Robert Wood Building 1St Floor, Philadelphia PA 19104-5127. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Lactation Consultant. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Liberati, Jacqueline Denise can be contacted via phone (215) 590-3440.

Contact Information

Primary practice address
3400 Civic Center Blvd Robert Wood Building 1St Floor Philadelphia PA 19104-5127
Phone: (215) 590-3440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN543487 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X 26NR11548300 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP008107 Pennsylvania
Nursing Service Providers / Lactation Consultant 163WL0100X L-56479 Pennsylvania

Profile Details

NPI number 1902896632
LBN Legal business name Liberati, Jacqueline Denise
Credentials B.S., RN, MSN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Nov 17th, 2014 - about 10 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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