Individual provider · Type 1 NPI
Amy Jackson
Technician/Technologist · Wilkes Barre, PA
NPI number
1679425060
Active
Practice location
1155 Highway 315 Blvd
Wilkes Barre, PA 18702-6928
Fax (570) 235-1667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | 230750 (PA) |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
Another provider at this address
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About NPI 1679425060
Amy Jackson's National Provider Identifier is 1679425060, issued on Feb 10, 2026. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Feb 10, 2026.