Healthcare Provider Details

I. General information

NPI: 1609242940
Provider Name (Legal Business Name): JENNIFER KARLA KABIR DNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3456 BETHLEHEM PIKE FL 1
SOUDERTON PA
18964-1051
US

IV. Provider business mailing address

3456 BETHLEHEM PIKE FL 1
SOUDERTON PA
18964-1051
US

V. Phone/Fax

Practice location:
  • Phone: 215-721-6500
  • Fax: 833-616-9307
Mailing address:
  • Phone: 215-721-6500
  • Fax: 833-616-9307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015216
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: