SHAWN D. JACKSON

PHILADELPHIA, PA
NPI1225391352
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP012047)
Enumeration Date2012-06-22
Last Update Date2021-10-07
Business Address
SHAWN D. JACKSON
125 S 9TH ST
PHILADELPHIA, PA 19107-5125
Phone number: 215-592-4500
Mailing Address
SHAWN D. JACKSON
7515 STENTON AVE
PHILADELPHIA, PA 19150-3710
Phone number: 215-842-5246
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