MEDICARE: JENNA MARIE CASTELBERG CRNP

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	363LA2100X	Acute Care Nurse Practitioner	SP030883	PA

General Provider Information

NPI Number	:	1982572665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA MARIE CASTELBERG CRNP

Provider Business Mailing Address
First Line	:	122 QUINCE CIR
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-9291
Country	:	US
Telephone Number	:	215-595-3740
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 CHESTNUT ST STE 110
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4201
Country	:	US
Telephone Number	:	215-503-1918
Fax Number	:

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

Provider Enumeration Date	:	10/25/2025
Last Update Date	:	10/25/2025

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