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

Individual provider Nurse Practitioner · NPI 1619704129

Kadyija Caressa Lawrence, APRN is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Ennoble Hc Nj PC, a 127-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1500 Chestnut St Ste 2 #1266
Philadelphia, PA 19102
Phone: (267) 250-8098
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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 SP030549 (PA)

Record details

NPI number1619704129
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ennoble Hc Nj Pc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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