Individual provider · Type 1 NPI

Jessica Jackson

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1376440990 Active

Practice location

1015 Walnut Street Curtis Building, Suite 115
Philadelphia, PA 19170-0001

Call (240) 615-7588 Map

Mailing address

705 S 12th St Unit 1
Philadelphia, PA 19147-1892

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376440990

Jessica Jackson's National Provider Identifier is 1376440990, issued on Oct 26, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 26, 2026.