Individual provider · Type 1 NPI

Susan S. Jackson, CRNP

Nurse Practitioner · Greenville, PA

NPI number 1174827406 Active

Practice location

110 N Main St
Greenville, PA 16125-1726

Mailing address

200 Lothrop St, Forbes Tower, Suite 9055
Pittsburgh, PA 15213-2536

Other practice locations

  • 2411 Wilmington Rd, New Castle, PA 16105-1938 · (724) 656-4320

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP011073 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174827406

Susan S. Jackson, CRNP's National Provider Identifier is 1174827406, issued on Dec 30, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenville, PA. The record was last updated on Sep 20, 2024.