Individual provider · Type 1 NPI

Stephanie E. Jackson, REGISTERED NURSE

Home Health Registered Nurse · Philadelphia, PA

NPI number 1215738091 Active

Practice location

5902 Old York Rd
Philadelphia, PA 19141-2342

Specialties and licenses

Taxonomy	Code	License
Home Health Registered Nurse Primary	163WH0200X	RN799102 (PA)

Home Health Registered Nurse: Definition to come...

10 other providers at this address

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Bernadette M. Gay, RNHome Health Registered Nurse Philadelphia, PA NPI 1437043916
Fanta Kromah Zokai, LPNLicensed Practical Nurse Philadelphia, PA NPI 1083503726
Kiwanna Smith Scott, LPNLicensed Practical Nurse Philadelphia, PA NPI 1275336711
Lisa Blyden, RNHome Health Registered Nurse Philadelphia, PA NPI 1023828241
Marcia A. HawkinsLicensed Practical Nurse Philadelphia, PA NPI 1154215630
Shyann Johnson, LPNLicensed Practical Nurse Philadelphia, PA NPI 1003610221
Sierra T. OrtizLicensed Practical Nurse Philadelphia, PA NPI 1851284673

Other home health registered nurse providers in Philadelphia

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About NPI 1215738091

Stephanie E. Jackson, REGISTERED NURSE's National Provider Identifier is 1215738091, issued on Mar 19, 2025. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 19, 2025.