KATELYN ALICE JESUKIEWICZ


Address: 2301 S Broad St, Philadelphia, PA 19148-3542
Phone: 2159529558

KATELYN ALICE JESUKIEWICZ (NPI# 1093279499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093279499
Entity Type Individual
Full Name KATELYN ALICE JESUKIEWICZ
Credential CRNP
Practice Address 2301 S Broad St
Philadelphia
PA 19148-3542
Mailing Address 111 S 11th St
Ste 8490
Philadelphia
PA 19107-4824
Practice Telephone 2159529558
Mailing Telephone 2159529558
Enumeration Date 2019-01-30
Last Update Date 2020-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP019873 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2301 S BROAD ST
City PHILADELPHIA
State PA
Zip Code 19148-3542

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134124621 Deborah A Serba Nurse Anesthetist, Certified Registered 2301 S Broad St, Philadelphia, PA 19148-3542 2005-06-20
1215584859 Mary Ann Heller Nurse Practitioner 2301 S Broad St, Philadelphia, PA 19148-3542 2019-08-19
1972088292 Lindsey Anne Wolf Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-10-02
1346732005 Candace Cantwell-foy Registered Nurse 2301 S Broad St, Philadelphia, PA 19148-3542 2018-05-30
1386199982 Marisa A. Ciuppa Nurse Anesthetist, Certified Registered 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-08-24
1871957324 Tejal Ulhas Naik Internal Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-04-11
1902267230 Methodist Associates In Healthcare, Inc. Psychiatry & Neurology 2301 S Broad St, Philadelphia, PA 19148-3542 2016-03-15
1669831996 Jeffex, Inc. Pharmacy 2301 S Broad St, 1st Floor, Philadelphia, PA 19148-3542 2016-02-15
1033575352 Methodist Associates In Healthcare, Inc. Family Medicine 2301 S Broad St, Philadelphia, PA 19148-3542 2016-01-04
1386028454 Tara Jean Levin Dietitian, Registered 2301 S Broad St, Philadelphia, PA 19148-3542 2015-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831759232 Be Well With Beth LLC Dietitian, Registered 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 2019-06-18
1942798186 Beth Auguste Dietitian, Registered 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 2018-04-24
1457866576 Wholehearted Homecare In Home Supportive Care 2555 S Jessup St, Philadelphia, PA 19148 2017-12-12
1326557331 Jannick Vicky Vielleuse Physical Therapist 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 2017-09-21
1225556137 Jamitia Camil Wilson-knight Counselor 2542 S Marshall, Phila, PA 19148 2017-08-31
1437676855 Elease Lee Pharmacist 2036 S 3rd Street, Philadelphia, PA 19148 2017-08-25
1598216483 Thy Vu Physician Assistant 2623 S Mildred St, Philadelphia, PA 19148 2016-10-17
1356723019 Meeta Chawla Dentist 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 2015-06-18
1013317882 Damian R Bereza Pharmacist 2017-2023 South Broad St, Philadelphia, PA 19148 2014-08-29
1396144390 Rite Aid Corporation Pharmacy 2017-2023 S Broad St, Philadelphia, PA 19148 2014-08-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407454051 Violet Anderson Nurse Practitioner 2338 S Broad St, Philadelphia, PA 19145-4450 2020-10-15
1568078582 Lynell Wiggins Nurse Practitioner 1605 N 77th St, Philadelphia, PA 19151-2711 2020-09-16
1508479668 Frances Laura Israel Nurse Practitioner 1913 Lansing St, Philadelphia, PA 19111-3505 2020-08-28
1063024529 April Lee Fligor Nurse Practitioner 148 Osborn St, Philadelphia, PA 19128-3709 2020-08-17
1861010597 Brooke Brady Bell Nurse Practitioner 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 2020-07-09
1780208090 Kimberly Mae Behney Nurse Practitioner 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 2020-06-02
1811525819 Jacqueline Baker Nurse Practitioner 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 2020-03-27
1720612914 Zakiyyah Muhsin-fall Nurse Practitioner 499 N 5th St Ste A, Philadelphia, PA 19123-4005 2020-02-26
1386276152 Mercedes Harley Nurse Practitioner 4151 Robbins Ave, Philadelphia, PA 19135-3021 2020-02-10
1467083063 Tara Lynne Weaver Nurse Practitioner 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 2020-02-01
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Competitor

Search similar providers

City PHILADELPHIA
Zip Code 19148

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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