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Contact Information

JESULA JEAN CHARLES, CRNP
2301 E ALLEGHENY AVE
PHILADELPHIA, PA19134-4427
 Phone: 215-344-7578
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JESULA JEAN CHARLES · (Female)

NPI # 1548079601
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 01/03/2025
Last updated 01/03/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SP031629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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