Provider Demographics
NPI:1316588585
Name:SHOLINSKY, JAIMIE (CRNP)
Entity Type:Individual
Prefix:
First Name:JAIMIE
Middle Name:
Last Name:SHOLINSKY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SPRUCE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4023
Mailing Address - Country:US
Mailing Address - Phone:215-829-3525
Mailing Address - Fax:215-829-3473
Practice Address - Street 1:700 SPRUCE ST STE 200
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4023
Practice Address - Country:US
Practice Address - Phone:215-829-3525
Practice Address - Fax:215-829-3473
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019718363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health