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General NPI Number Information
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NPI Number | 1700761285
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Entity Type | Individual
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Provider Name | JESSICA LYN MATSINGER CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1991 SPROUL RD STE 230
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City | BROOMALL
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State | PA
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Zip | 19008-3512
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Country | US
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Telephone | 610-449-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 4344 WOODLAND AVE
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City | DREXEL HILL
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State | PA
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Zip | 19026-4324
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Country | US
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Telephone | 610-299-8066
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP0333542
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License Number State | PA
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