Individual provider · Type 1 NPI
Lastasha R. Jackson, CRNP
Family Nurse Practitioner · Woodlyn, PA
NPI number
1356911325
Active
Practice location
215 Bullens Ln
Woodlyn, PA 19094-2001
Mailing address
330 E Brown St
Norristown, PA 19401-5407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP022131 (PA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Woodlyn
About NPI 1356911325
Lastasha R. Jackson, CRNP's National Provider Identifier is 1356911325, issued on Jun 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Woodlyn, PA. The record was last updated on Jun 30, 2021.