JESSLY ALEX (NPI# 1235598210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235598210 |
Entity Type | Individual |
Full Name | JESSLY ALEX |
Credential | CRNP |
Practice Address |
6500 Tabor Ave Philadelphia PA 19111-5332 |
Mailing Address |
293 Pheasant Dr Huntingdon Valley PA 19006-3036 |
Practice Telephone | 2156978000 |
Mailing Telephone | 2154501032 |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-02-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SPO15926 | PA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SPO15926 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SPO15926 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6500 TABOR AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19111-5332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891967485 | Joyce E Yablunsky | Registered Nurse | 6500 Tabor Ave, Philadelphia, PA 19111-5332 | 2008-03-24 |
1023515012 | Catherine Ann Titlow | Occupational Therapist | 6500 Tabor Ave, Philadelphia, PA 19111-5332 | 2018-04-07 |
1356869333 | Maria Difeo | Physical Therapist | 6500 Tabor Ave, Philadelphia, PA 19111-5332 | 2017-08-30 |
1023553708 | Contract Pharmacy Services-pph | Pharmacy | 6500 Tabor Ave, Philadelphia, PA 19111-5332 | 2017-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
Find all providers in zip 19111 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
1205306545 | Vadim Selyukov | Nurse Practitioner | 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 | 2018-11-29 |
1619420940 | Bridget Mccoy | Nurse Practitioner | 4929 Cedar Ave, Philadelphia, PA 19143-2013 | 2016-08-03 |
1003265489 | Stephanie Hand | Nurse Practitioner | 2409 Bainbridge St, Philadelphia, PA 19146-1014 | 2016-06-07 |
1679929095 | Michelle Marowitz | Nurse Practitioner | 3401 Civic Center Blvd Fl 11, Philadelphia, PA 19104 | 2016-05-05 |
1366834855 | Mary Morris | Nurse Practitioner | 1538 S 56th St, Philadelphia, PA 19143-4737 | 2015-02-20 |
1174920086 | Frances Garbarino | Nurse Practitioner | 501 S 53rd St, Philadelphia, PA 19143 | 2014-11-21 |
1033551130 | Mollie Evelyn Wilson | Nurse Practitioner | 5820 W Girard Ave, Philadelphia, PA 19131-4850 | 2013-07-18 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19111 |
Please comment or provide details below to improve the information on JESSLY ALEX.
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.