Most Relevant Information
Provider Data
| NPI Number: | 1003380940 |
| Provider Name: | JAHNEEN PULLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN308268 |
Most Important Dates
| Enumeration Date: | 01/14/2019 |
| Last Updated: | 01/14/2019 |
Provider Practice Location
5805 CHRISTIAN ST
PHILADELPHIA
PA
191433001
Practice Location Phone/Fax
| Phone: | 2156887518 |
| Fax: | 2673881803 |
Provider Mailing Location
5805 CHRISTIAN ST
PHILADELPHIA
PA
191433001
Provider Mailing Phone/Fax
| Phone: | 2156887518 |
| Fax: | 2673881803 |