MEDICARE: MS. BARBARA T. JANSMA C.R.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0200X	Pediatric Registered Nurse	RN219683L	PA
2	363LP0200X	Pediatric Nurse Practitioner	VP002179N	PA

General Provider Information

NPI Number	:	1255386728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA T. JANSMA C.R.N.P.

Provider Business Mailing Address
First Line	:	501 GREEN ST
Second Line	:
City	:	HADDON HEIGHTS
State	:	NJ
Zip	:	08035-1903
Country	:	US
Telephone Number	:	609-320-5442
Fax Number	:

Provider Business Practice Location Address
First Line	:	CHILDREN'S HOSPITAL OF PHILADELPHIA, 5TH FLR WOOD BLDG
Second Line	:	34TH ST & CIVIC CENTER BLVD
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104
Country	:	US
Telephone Number	:	215-590-4684
Fax Number	:	215-590-3500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	09/11/2025

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