Individual provider · Type 1 NPI

Petra Jackson

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1861302895 Active

Practice location

360 Huntington Ave
Boston, MA 02115-5005

Call (617) 373-3195 Map

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 1861302895

Petra Jackson's National Provider Identifier is 1861302895, issued on Sep 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Sep 10, 2026.