SAMALA JACKSON

BERWYN, PA
NPI1184362600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: PA  Sp018935)
Enumeration Date2022-05-24
Last Update Date2025-10-24
Business Address
Ms. SAMALA JACKSON Crnp
1055 WESTLAKES DR STE 3152
BERWYN, PA 19312-2410
Phone number: 215-346-6050
Mailing Address
Ms. SAMALA JACKSON Crnp
PO BOX 40412
BELFAST, ME 04915-1255
Phone number: 248-824-6500
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