Jennifer Lynn Black-Waerig, CRNP
Nurse Practitioner in Philadelphia, PA. Individual provider (NPI-1).
NPI number1043662497
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1043662497
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Black-Waerig
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2016
- Certification date
- May 21, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP016200 | PA | Yes |
Practice location
160 E Erie AvePhiladelphia, PA 19134-1011
Phone 215-427-5000
Mailing address
Po Box 13579Reading, PA 19612-3579
Phone 484-628-1324
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