| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JACQUELINE MECCA | 1962116673 | 2023-01-14 |
Jacqueline Mecca is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1962116673. Registration indicates Jacqueline Mecca is a provider of access to pediatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Jacqueline Mecca |
| Practice Office Address | 3401 CIVIC CENTER BLVD PHILADELPHIA, PA US |
| Practice Office Telephone | 2155901000 |
| Mailing Address | 322 MYRTLE AVE MORTON, PA 190702049 US |
| Business Telephone | 6106755066 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0200X PRIMARY | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | SP026931
PA |