Jennifer Colaccio, RN
Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Devon, PA
NPI 1376328591 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1376328591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
- License
- RN505328L (PA)
- Practice address
- 235 W Lancaster Ave
Devon, PA 19333-1560 - Phone
- (610) 803-4856
- NPI assigned
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN505328L | PA | MD | Addiction (Substance Use Disorder) Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN505328L | PA | Yes |
Addresses
Primary practice location
235 W Lancaster Ave
Devon, PA 19333-1560
Mailing address
235 W Lancaster Ave
Devon, PA 19333-1560
Phone (610) 803-4856
Other providers in Devon, PA
- Ryan Carson
- Nicholas Anthony Chilinskas
- Shannon Clark
- Emily Clemens
- Beth Marla Cohen
- Maureen Michele Colket
- Sophia L Conway
- Paul Cosgrove
- Rocco Jason Costabile
- Coyote Counseling LLC
All providers in Devon, PA · Addiction (Substance Use Disorder) Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.