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Shawn D. Jackson
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1225391352

Shawn D. Jackson is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Shawn D. Jackson practices in Philadelphia, PA. The NPI Number for Shawn D. Jackson is 1225391352 and holds a License No. SP012047 (Pennsylvania).

The current practice location address for Shawn D. Jackson is 125 S 9Th St, Philadelphia, PA and can be reached out via phone at 215-592-4500.

Location: 125 S 9Th St, Philadelphia, PA, 19150-3710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225391352
Provider Name
Shawn D. Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 S 9Th St, Philadelphia, PA, 19150-3710
Phone Number
215-592-4500
Fax Number
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
125 S 9Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-5125
Phone Number
215-592-4500
Fax Number
person
Provider Business Mailing Address Details
Address
125 S 9Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-5125
Phone Number
215-592-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP012047 (Pennsylvania)
Definition
Definition to come...
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