MARY JEPSEN PMHNP-BC NPI 1720337876

NPI Information

  • NPI: 1720337876
  • Provider Name: MARY JEPSEN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2301 N 29TH ST STE 500
    PHILADELPHIA, PA
    ZIP 19132
  • Phone: (215) 444-7510

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NPI Details

Mary Jepsen, PMHNP-BC is a psychiatric/mental health nurse practitioner in Philadelphia, PA with 12 years of experience. Mary Jepsen, PMHNP-BC NPI is 1720337876. 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:

2301 N 29TH ST STE 500
PHILADELPHIA, PA
ZIP 19132-454
Phone: (215) 444-7510
Fax: (267) 388-4659

The NPI 1720337876 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 9/5/2012 and was last updated on 7/21/2022.

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
1163W00000XRegistered NurseRN2277482MASSACHUSETTSNo
2163W00000XRegistered NurseRN699604PENNSYLVANIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2277482MASSACHUSETTSNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthSP018290PENNSYLVANIAYes

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: 3/30/2025

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