JACQUELINE COUNTESS


Address: 3400 Spruce St, 4th Floor Silverstein- Surgery, Philadelphia, PA 19104-4238
Phone: 2156627870

JACQUELINE COUNTESS (NPI# 1700336930) 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) 1700336930
Entity Type Individual
Full Name JACQUELINE COUNTESS
Credential CRNP
Practice Address 3400 Spruce St
4th Floor Silverstein- Surgery
Philadelphia
PA 19104-4238
Practice Telephone 2156627870
Mailing Telephone 2156627870
Enumeration Date 2016-10-12
Last Update Date 2016-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology 		SP016615 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3400 SPRUCE ST
4TH FLOOR SILVERSTEIN- SURGERY
City PHILADELPHIA
State PA
Zip Code 19104-4238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415966 Samuel Isaiah Parry Obstetrics & Gynecology 3400 Spruce St, Philadelphia, PA 19104-4238 2005-05-24
1831790609 Renate Marie Balitzky Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-11-06
1053911156 Jordan Charles Templeton Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4274 2020-10-28
1992305304 Alyssa N Volpe Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1700486115 Christina Haddow Registered Nurse 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-27
1629677497 Marissa Leigh Berlant Physician Assistant 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-22
1811595523 Kristen Gilgen Anesthesiology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-10-14
1962014654 Stacey Pham Nurse Practitioner 3400 Spruce St, Philadelphia, PA 19104-4238 2020-08-23
1265040109 Abdullah T Almuqate Pathology 3400 Spruce St, Philadelphia, PA 19104-4238 2020-07-16
1952928541 Stefen Andrianus Student in an Organized Health Care Education/Training Program 3400 Spruce St, Philadelphia, PA 19104-4238 2020-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508471582 Yanshi Lin Nurse Practitioner 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 2020-09-15
1821636317 Mary Mumbi Njogu Nurse Practitioner 907 Woodbrook Ln, Philadelphia, PA 19150-3217 2019-12-15
1235696741 Divya Rebecca Roberts Nurse Practitioner 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 2019-02-21
1770073090 Eboni Simmons Nurse Practitioner 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 2018-05-11
1780180620 Natalie Clarke Nurse Practitioner 7727 Overbrook Ave, Philadelphia, PA 19151-2016 2018-03-31
1396240792 Barbara Ann Young Nurse Practitioner 15054 Carter Rd, Philadelphia, PA 19116-1503 2018-03-27
1780182451 Kelly Ann Joyce Nurse Practitioner 5225 Arendell Ave, Philadelphia, PA 19114-4229 2018-01-29
1699273615 Dana Patricia Ridley Nurse Practitioner 2024 Emily St, Philadelphia, PA 19145-2823 2018-01-24
1497205157 Sinu Satheeshbabu Nair Nurse Practitioner 9285 Darlington Rd, Philadelphia, PA 19115-2734 2016-10-06
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
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Competitor

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City PHILADELPHIA
Zip Code 19104

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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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