person
Ms. Samala Jackson, CRNP
Gerontology Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1184362600

Samala Jackson is a Gerontology Nurse Practitioner based in Philadelphia, PA and is specialized in Gerontology. Samala Jackson practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Samala Jackson is 1184362600 and holds a License No. SP018935 (Pennsylvania).

The current practice location address for Samala Jackson is 9200 Bustleton Ave Apt 1705, Philadelphia, PA and can be reached out via phone at 215-760-6386.

Location: 9200 Bustleton Ave Apt 1705, Philadelphia, PA, 19115-4230
person
Provider Profile Details
NPI Number
1184362600
Provider Name
Samala Jackson
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
9200 Bustleton Ave Apt 1705, Philadelphia, PA, 19115-4230
Phone Number
215-760-6386
Fax Number
Provider Enumeration Date
05/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9200 Bustleton Ave Apt 1705
City
State
Zip
19115-4230
Phone Number
215-760-6386
Fax Number
person
Provider Business Mailing Address Details
Address
9200 Bustleton Ave Apt 1705
City
State
Zip
19115-4230
Phone Number
215-760-6386
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
SP018935 (Pennsylvania)
Definition
Definition to come...
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