BERTHA ADELE JACKSON

PHILADELPHIA, PA
NPI1598078404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP010712)
Enumeration Date2010-07-20
Last Update Date2010-07-20
Business Address
Ms. BERTHA ADELE JACKSON CRNP
5501 OLD YORK RD PALEY FIRST FLOOR
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6532
Mailing Address
Ms. BERTHA ADELE JACKSON CRNP
5501 OLD YORK RD PALEY FIRST FLOOR
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6532