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MRS. JENNIFER ANNE ERICKSON N.P. NPI 1992856413


NPI Information

NPI: 1992856413
Provider Name: MRS. JENNIFER ANNE ERICKSON, N.P.
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
7602 CENTRAL AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 969-2900
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MRS. Jennifer Anne Erickson, N.P. is a gerontology nurse practitioner in Philadelphia, PA. MRS. Jennifer Anne Erickson, N.P. NPI is 1992856413. 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:

7602 CENTRAL AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19111-443
Phone: (215) 969-2900
Fax: (215) 969-1856

The NPI 1992856413 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 1/12/2007 and was last updated on 4/3/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologySP007259PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SM1374026OTHERPENNSYLVANIAPENNSYLVANIA BLUESHIELD
2500025007OTHERPENNSYLVANIARAILROAD MEDICARE #
3P54492MEDICARE UPINPENNSYLVANIA
407791408OTHERPENNSYLVANIAPROVIDER TYPE 57 ID NUMBE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.