Individual provider · Type 1 NPI
Amanda Emily Jackson, C.R.N.P
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1285068825
Active
Practice location
925 Chestnut St, Suite 320A
Philadelphia, PA 19107-4216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP013151 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1285068825
Amanda Emily Jackson, C.R.N.P's National Provider Identifier is 1285068825, issued on Aug 30, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 10, 2014.