Provider Demographics
NPI:1679845838
Name:OSIPOWICZ, JESSICA ZUINO (RN, MSN, CRNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ZUINO
Last Name:OSIPOWICZ
Suffix:
Gender:F
Credentials:RN, MSN, CRNP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:34TH ST AND CIVIC CENTER BLVD
Mailing Address - Street 2:1ST FLOOR, MAIN BUILDING, ROOM 1NE80
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34TH STREET AND CIVIC CENTER BOULEVARD
Practice Address - Street 2:1ST FLOOR, MAIN BUILDING, ROOM 1NE80
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-4678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011805282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren