JACQUELINE AMANDA VERESS CRNP FNP

NPI Information

NPI: 1174111595
Provider Name: JACQUELINE AMANDA VERESS, CRNP, FNP - C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2160 E SERGEANT ST
PHILADELPHIA, PA
ZIP 19125
Phone: (908) 902-3923
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Jacqueline Amanda Veress, CRNP, FNP - C is a family nurse practitioner in Philadelphia, PA with 4 years of experience. Jacqueline Amanda Veress, CRNP, FNP - C NPI is 1174111595. 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:

2160 E SERGEANT ST
PHILADELPHIA, PA
ZIP 19125-238
Phone: (908) 902-3923

The NPI 1174111595 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 1/3/2021 and was last updated on 1/3/2021.

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	363LF0000X	Nurse Practitioner	Family	SP022979	PENNSYLVANIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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