Individual provider · Type 1 NPI
Paula Deaun Jackson, CRNP
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1801877907
Active
Practice location
160 E Erie Ave Ste 3311
Philadelphia, PA 19134-1011
Fax (215) 492-8119
Mailing address
PO Box 13579
Reading, PA 19612-3579
Other practice locations
- 1015 Chestnut St Ste 1520, Philadelphia, PA 19107-4315 · (855) 675-4010
- 1511 Carpenter St, Philadelphia, PA 19146-2110 · (215) 923-2690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP030377 (PA) |
| Community Health Nurse Practitioner | 363LC1500X | 26NJ00025500 (NJ) |
| Nurse Practitioner | 363L00000X | TP004745D (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1801877907
Paula Deaun Jackson, CRNP's National Provider Identifier is 1801877907, issued on Nov 7, 2005. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 15, 2025.