Provider Demographics
NPI:1508399106
Name:SHEETS, JOCELYN WEIDNER (CPNP-AC, CRNP)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:WEIDNER
Last Name:SHEETS
Suffix:
Gender:F
Credentials:CPNP-AC, CRNP
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:LOUISE
Other - Last Name:WEIDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:164 TROTTERS LEA LN
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-8913
Mailing Address - Country:US
Mailing Address - Phone:717-497-6593
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017416363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics