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

Jennifer Lynn Vise

Individual provider Acute Care Nurse Practitioner · NPI 1053021030

Jennifer Lynn Vise is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 662-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP026613 (PA)

Record details

NPI number1053021030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 30, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia