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Andrea Arnita Jackson, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1053952150

Andrea Arnita Jackson is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Andrea Arnita Jackson practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Andrea Arnita Jackson is 1053952150 and holds a License No. SP020063 (Pennsylvania).

The current practice location address for Andrea Arnita Jackson is 321 W Girard Ave, Philadelphia, PA and can be reached out via phone at 215-685-6808.

Location: 321 W Girard Ave, Philadelphia, PA, 19119-3406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053952150
Provider Name
Andrea Arnita Jackson
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
321 W Girard Ave, Philadelphia, PA, 19119-3406
Phone Number
215-685-6808
Fax Number
Provider Enumeration Date
10/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
321 W Girard Ave
City
Philadelphia
State
Pennsylvania
Zip
19123-1531
Phone Number
215-685-6808
Fax Number
person
Provider Business Mailing Address Details
Address
321 W Girard Ave
City
Philadelphia
State
Pennsylvania
Zip
19123-1531
Phone Number
215-685-6808
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP020063 (Pennsylvania)
Definition
Definition to come...
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