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

Venessa Lynn Medina

Individual provider Gerontology Nurse Practitioner · NPI 1063910651

Venessa Lynn Medina is a Gerontology Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018

Practice location Address checks out

3400 Civic Center Blvd 2 East Pavilion
Philadelphia, PA 19104-5127
Phone: (215) 615-4949
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP018287 (PA)

Record details

NPI number1063910651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJanuary 30, 2018

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