Gloria L Jackson, CRNP
Nurse Practitioner in Sewell, New Jersey
1013035294- Practice location
- 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358
- Phone
- 856-557-7900
- Fax
- —
- Last updated
- December 11, 2019
Gloria L Jackson is a Nurse Practitioner based in Sewell, NJ. Gloria L Jackson practices in Sewell, NJ and has the professional credentials of CRNP. The NPI Number for Gloria L Jackson is 1013035294 and holds a License No. SP007231 (PA). The current practice location address for Gloria L Jackson is 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358 and can be reached out via phone at 856-557-7900.
Provider Profile Details
- NPI Number
- 1013035294
- Provider Name
- Gloria L Jackson
- Credential
- CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358
- Phone Number
- 856-557-7900
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- Gloria L Pitts, CRNP (Former Name)
- Provider Enumeration Date
- March 27, 2007
- Last Update Date
- December 11, 2019
- Certification Date
- December 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 Medical Center Dr Ste 200
Sewell, NJ 08080-2358 - City
- Sewell
- State
- New Jersey
- Zip
- 08080-2358
- Phone Number
- 856-557-7900
Provider Business Mailing Address Details
- Address
- 3400 Civic Center Blvd
Pcam 4 West
Philadelphia, PA 19104 - City
- Philadelphia
- State
- PA
- Zip
- 19104
- Phone Number
- 215-615-5858
- Fax Number
- 215-349-8144
License Information
- License Number (1)
- SP007231
- License State (1)
- PA
- Taxonomy (1)
- Nurse Practitioner · 363L00000X
- License Number (2)
- 26NJ00058800
- License State (2)
- NJ
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near Sewell, NJ
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Frequently Asked Questions
What is the NPI number of Gloria L Jackson, CRNP?
The NPI number of Gloria L Jackson, CRNP is 1013035294. It was assigned on March 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Gloria L Jackson, CRNP?
Gloria L Jackson, CRNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in PA under license number SP007231.
Where does Gloria L Jackson, CRNP practice?
The practice location is 900 Medical Center Dr Ste 200, Sewell, NJ 08080-2358. The office can be reached at 856-557-7900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013035294 directly on the NPPES registry website.