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

Mercedes Julia Dettra, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1346066859

Mercedes Julia Dettra, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

111 N 49th St
Philadelphia, PA 19139-2718
Phone: (215) 471-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP031168 (PA)

Record details

NPI number1346066859
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedNovember 30, 2024
Last updated in NPPESNovember 30, 2024
Certification dateNovember 29, 2024

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