Provider Demographics
NPI:1801661574
Name:JFA HEALTH CORPORATION
Entity type:Organization
Organization Name:JFA HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY CARE PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:DONNA
Authorized Official - Last Name:FORTE-ALSAEED
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:484-655-8921
Mailing Address - Street 1:1771 S 65TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-1432
Mailing Address - Country:US
Mailing Address - Phone:484-655-8921
Mailing Address - Fax:
Practice Address - Street 1:1771 S 65TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-1432
Practice Address - Country:US
Practice Address - Phone:484-655-8921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JFA HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty