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General NPI Number Information
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NPI Number | 1982572665
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Entity Type | Individual
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Provider Name | JENNA MARIE CASTELBERG CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2025
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 925 CHESTNUT ST STE 110
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4201
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Country | US
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Telephone | 215-503-1918
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Fax |
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Provider Business Mailing Address
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Address Line | 122 QUINCE CIR
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City | NEWTOWN
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State | PA
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Zip | 18940-9291
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Country | US
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Telephone | 215-595-3740
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | SP030883
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License Number State | PA
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