Healthcare Provider Details

I. General information

NPI: 1467191023
Provider Name (Legal Business Name): JENNIFER SADLER DNP, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N BROAD ST
PHILADELPHIA PA
19140-5103
US

IV. Provider business mailing address

300 PARK BLVD APT 1001
CHERRY HILL NJ
08002-3477
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-3008
  • Fax:
Mailing address:
  • Phone: 208-319-6150
  • Fax: 877-544-7752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberSP028125
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: