Doctor Name: | PRIYANKA JINDAL |
NPI Number: | 1457721235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP-BC |
License Number: | SP015334 |
Business Practice Address: | 907 Chester Pike Sharon Hill, PA - 190791411 |
Business Phone Number: | 6107150127 |
Business Fax Number: | |
Mailing Address: | 4725 Baltimore Ave, Apartment Number 3f PHILADELPHIA |
State: | PA |
Postal Code: | 191432040 |
Phone Number: | 2672405579 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2015 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP015334 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |