Jacob Axenfeld, RN

Individual provider Active NPI Registered Nurse · Coatesville, PA

NPI 1730008012 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1730008012
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN815193 (PA)
Practice address
108 Josephs Way
Coatesville, PA 19320-6145
Phone
(610) 733-0025
NPI assigned
Jul 13, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN815193 PA Yes

Addresses

Primary practice location

108 Josephs Way
Coatesville, PA 19320-6145

Mailing address

108 Josephs Way
Coatesville, PA 19320-6145

Other providers in Coatesville, PA

All providers in Coatesville, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.