Provider / Organization | NPI | Date Certified |
---|---|---|
CAITLIN JAECKEL | 1912596644 | 2021-01-17 |
Caitlin Jaeckel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912596644. Registration indicates Caitlin Jaeckel is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Caitlin Jaeckel PA-C |
Practice Office Address | 1237 SPRING GARDEN ST PHILADELPHIA, PA US |
Practice Office Telephone | 2157693561 |
Mailing Address | 1237 SPRING GARDEN ST PHILADELPHIA, PA 191233469 US |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |