JEAN M MCDERMOTT CRNP NPI 1235337064

NPI Information

NPI: 1235337064
Provider Name: JEAN M MCDERMOTT, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: VIRTUA MEDICAL GROUP, PA

PECOS Registration: Yes

Address:
3400 SPRUCE ST
RAVDIN 2ND FL
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-2354
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Jean M Mcdermott, CRNP is a family nurse practitioner in Philadelphia, PA with 18 years of experience. Jean M Mcdermott, CRNP NPI is 1235337064. 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:

3400 SPRUCE ST
RAVDIN 2ND FL
PHILADELPHIA, PA
ZIP 19104-238
Phone: (215) 662-2354

The NPI 1235337064 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 7/3/2007 and was last updated on 11/12/2020.

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	SP009363	PENNSYLVANIA	Yes
2	363LF0000X	Nurse Practitioner	Family	26NJ00176700	NEW JERSEY	No

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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