Basic Information
| Provider Information | |||||||||
| NPI: | 1407157530 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OCHSENREITHER | ||||||||
| FirstName: | JACQUELINE | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | RN MSN CRNP PNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34TH & CIVIC CTR. BLVD. | ||||||||
| Address2: | THE CHILDREN'S HOSPITAL OF PHILADELPHIA | ||||||||
| City: | PHILA. | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155901000 | ||||||||
| FaxNumber: | 2674267385 | ||||||||
| Practice Location | |||||||||
| Address1: | 34TH & CIVIC CTR. BLVD. | ||||||||
| Address2: | THE CHILDREN'S HOSPITAL OF PHILADELPHIA | ||||||||
| City: | PHILA. | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155901000 | ||||||||
| FaxNumber: | 2674267385 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/05/2010 | ||||||||
| LastUpdateDate: | 03/30/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP0222X | SP003173O | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics, Critical Care |
No ID Information.