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Jamie Kakkanattu, CRNP

Nurse Practitioner, Family in Philadelphia, PA. Individual provider (NPI-1).

NPI number1982201315
StatusActive
Last updated in NPPESMay 15, 2023

Details

NPI
1982201315
Entity type
Individual (NPI-1)
Name
Miss Jamie Kakkanattu
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2020
Certification date
May 15, 2023
Last updated
May 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilySP022189PAYes

Practice location

833 Chestnut St Ste 205
Philadelphia, PA 19107-4426

Phone 215-955-6835

Mailing address

833 Chestnut St Ste 205
Philadelphia, PA 19107-4426

Phone 215-955-6835 · Fax 215-923-5778

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