Ida Jerald
Registered Nurse in Plymouth Meeting, PA. Individual provider (NPI-1).
NPI number1679808554
StatusActive
Last updated in NPPESOct 9, 2009
Details
- NPI
- 1679808554
- Entity type
- Individual (NPI-1)
- Name
- Ida Jerald
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2009
- Last updated
- Oct 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN127940L | PA | Yes |
Practice location
2250 Hickory RdPlymouth Meeting, PA 19462-1047
Phone 610-834-1122
Mailing address
6457 Chew AvePhiladelphia, PA 19119-2038
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