Healthcare Provider Details

I. General information

NPI: 1780194027
Provider Name (Legal Business Name): JESSICA FINCKEN MSN, CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2017
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 N RADNOR CHESTER RD STE 100
RADNOR PA
19087-2121
US

IV. Provider business mailing address

3803 W CHESTER PIKE STE 160
NEWTOWN SQUARE PA
19073-2336
US

V. Phone/Fax

Practice location:
  • Phone: 484-580-1550
  • Fax: 484-580-1545
Mailing address:
  • Phone: 484-580-1550
  • Fax: 484-580-1545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP018176
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP018176
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: