Search › Pennsylvania › 363A00000X
Jamie Whitesell
NPI 1336690163 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2208 Sproul Rd
Broomall, PA 19008 - Phone
- (610) 888-9446
Additional practice sites
- 1528 Walnut St Ste 950, Philadelphia, PA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania