MARY JEPSEN PMHNP-BC NPI 1720337876

NPI Information

NPI: 1720337876
Provider Name: MARY JEPSEN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2301 N 29TH ST STE 500
PHILADELPHIA, PA
ZIP 19132
Phone: (215) 444-7510
Get Directions

Mary Jepsen, PMHNP-BC is a psychiatric/mental health nurse practitioner in Philadelphia, PA. 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 9/10/2020.

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	163W00000X	Registered Nurse		RN2277482	MASSACHUSETTS	No
2	163W00000X	Registered Nurse		RN699604	PENNSYLVANIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2277482	MASSACHUSETTS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP018290	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: 11/14/2023

NPI Synchronization or Removal

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