IndividualActive
Jonathan St. Julien
NPI 1316717374 · Neonatal Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1316717374
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- SP028997 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1653
Approximate (ZIP-level) locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2024-01-02
- Last updated
- 2024-01-05
- Certified
- 2024-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.