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

Jacquelyn Patrice Squares, CRNP

Individual provider Nurse Practitioner · NPI 1427766872

Jacquelyn Patrice Squares, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

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Practice location Address checks out

3400 Civic Center Blvd Pcam 3 Rd Fl
Philadelphia, PA 19104-5158
Phone: (215) 662-6397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3400 Spruce St, Philadelphia, PA 19104-4238 — (215) 662-4859

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP026487 (PA)

Record details

NPI number1427766872
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022

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