PAULA DEAUN JACKSON

PHILADELPHIA, PA
NPI1801877907
Professional NamePAULA DEAUN JACKSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP030377)
Additional Taxonomies363LC1500X Nurse Practitioner, Community Health
(Licence: NJ  26NJ00025500)
363L00000X Nurse Practitioner
(Licence: PA  TP004745D)
Enumeration Date2005-11-07
Last Update Date2025-12-15
Business Address
PAULA DEAUN JACKSON CRNP
160 E ERIE AVE STE 3311
PHILADELPHIA, PA 19134-1011
Phone number: 215-427-3803
Mailing Address
PAULA DEAUN JACKSON CRNP
PO BOX 13579
READING, PA 19612-3579
Phone number: 484-628-1324