GLORIA L JACKSON

SEWELL, NJ
NPI1013035294
Former NameGLORIA L PITTS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NJ00058800)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: PA  SP007231)
Enumeration Date2007-03-27
Last Update Date2019-12-11
Business Address
GLORIA L JACKSON CRNP
900 MEDICAL CENTER DR STE 200
SEWELL, NJ 08080-2358
Phone number: 856-557-7900
Mailing Address
GLORIA L JACKSON CRNP
3400 CIVIC CENTER BLVD PCAM 4 WEST
PHILADELPHIA, PA 19104
Phone number: 215-615-5858