Provider Demographics
NPI:1407157530
Name:OCHSENREITHER, JACQUELINE M (RN MSN CRNP PNP-BC)
Entity Type:Individual
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First Name:JACQUELINE
Middle Name:M
Last Name:OCHSENREITHER
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Gender:F
Credentials:RN MSN CRNP PNP-BC
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Mailing Address - Street 1:34TH & CIVIC CTR. BLVD.
Mailing Address - Street 2:THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Mailing Address - City:PHILA.
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-1000
Mailing Address - Fax:267-426-7385
Practice Address - Street 1:34TH & CIVIC CTR. BLVD.
Practice Address - Street 2:THE CHILDREN'S HOSPITAL OF PHILADELPHIA
Practice Address - City:PHILA.
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-1000
Practice Address - Fax:267-426-7385
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2011-03-30
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Provider Licenses
StateLicense IDTaxonomies
PASP003173O363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care