Jackson, Andrea L

Jackson, Andrea L is an individual health care provider with primary practice located at 3400 Spruce St 6 Silverstein, Philadelphia PA 19104-4206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Andrea L can be contacted via phone (215) 615-4949.

Contact Information

Primary practice address
3400 Spruce St 6 Silverstein Philadelphia PA 19104-4206
Phone: (215) 615-4949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP012594 Pennsylvania

Profile Details

NPI number 1215275763
LBN Legal business name Jackson, Andrea L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Jan 17th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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