ANDREA L JACKSON

PHILADELPHIA, PA
NPI1215275763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: PA  SP012594)
Enumeration Date2013-01-17
Last Update Date2013-01-17
Business Address
-- ANDREA L JACKSON CRNP
3400 SPRUCE ST 6 SILVERSTEIN
PHILADELPHIA, PA 19104-4206
Phone number: 215-615-4949
Mailing Address
-- ANDREA L JACKSON CRNP
3400 SPRUCE ST 6 SILVERSTEIN
PHILADELPHIA, PA 19104-4206
Phone number: 215-615-4949
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