Most Relevant Information
Provider Data
| NPI Number: | 1003302399 |
| Provider Name: | JAIME LEVINE |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN627576 |
Most Important Dates
| Enumeration Date: | 07/10/2018 |
| Last Updated: | 08/21/2018 |
Provider Practice Location
1939 W CHELTENHAM AVE
ELKINS PARK
PA
19027
Practice Location Phone/Fax
| Phone: | 2158845715 |
| Fax: | 2158841442 |
Provider Mailing Location
1939 W CHELTENHAM AVE
ELKINS PARK
PA
190271046
Provider Mailing Phone/Fax
| Phone: | 2158845715 |
| Fax: | 2158841442 |