Healthcare Provider Details

I. General information

NPI: 1235624594
Provider Name (Legal Business Name): JOCELYN PLOWDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 06/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 LINDLEY AVE
PHILADELPHIA PA
19141-3918
US

IV. Provider business mailing address

825 LINDLEY AVE
PHILADELPHIA PA
19141-3918
US

V. Phone/Fax

Practice location:
  • Phone: 267-560-9945
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number780228
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number780228
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: