Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Countess, CRNP

Individual provider Gerontology Nurse Practitioner · NPI 1700336930

Jacqueline Countess, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

3400 Spruce St 4th Fl Silverstein- Surgery
Philadelphia, PA 19104-4238
Phone: (215) 662-7870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP016615 (PA)

Record details

NPI number1700336930
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESOctober 13, 2016
Mailing address3400 Spruce St, 4th Floor Silverstein- Surgery, Philadelphia, PA 19104-4238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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