Individual provider · Type 1 NPI
Tatianie Alicia Jackson, MD
Nuclear Radiology Physician · Hershey, PA
NPI number
1528313558
Active
Practice location
500 University Dr, Mc CA410
Hershey, PA 17033-2360
Fax (717) 531-5596
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Other practice locations
- 820 Harrison Ave, Boston, MA 02118-2905 · (617) 638-6616
- 1800 Mulberry St, Scranton, PA 18510-2369 · (570) 703-8151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 278083 (MA) |
| Diagnostic Radiology Physician | 2085R0202X | 278083 (MA) |
| Nuclear Radiology Physician Primary | 2085N0904X | MD470854 (PA) |
Nuclear Radiology Physician: A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
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About NPI 1528313558
Tatianie Alicia Jackson, MD's National Provider Identifier is 1528313558, issued on Jul 16, 2012. The primary taxonomy on file is Nuclear Radiology Physician (2085N0904X), and the practice location is in Hershey, PA. The record was last updated on Jun 11, 2024.