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

Individual provider Acute Care Nurse Practitioner · NPI 1063753598

Jacqueline M Redman, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Aria Health Physician Services, a 480-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2013
Specialties on file
2
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

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3601
Fax: (215) 707-1576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP012724 (PA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence SP012724 (PA)

Record details

NPI number1063753598
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 7, 2013
Last updated in NPPESDecember 27, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aria Health Physician Services — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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