REBECCA PROSSER NPI 1043743966

NPI Information

NPI: 1043743966
Provider Name: REBECCA PROSSER
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: JEFFERSON UNIVERSITY PHYSICIANS

PECOS Registration: Yes

Address:
833 CHESTNUT STREET
1ST FLOOR
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-5000
Get Directions

Rebecca Prosser is a women's health nurse practitioner in Philadelphia, PA with 7 years of experience. Rebecca Prosser NPI is 1043743966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

833 CHESTNUT STREET
1ST FLOOR
PHILADELPHIA, PA
ZIP 19107-420
Phone: (215) 955-5000

The NPI 1043743966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 2/15/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	SP017377	PENNSYLVANIA	Yes
2	367A00000X	Advanced Practice Midwife		MW010438	PENNSYLVANIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103300667	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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