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Search › Pennsylvania › 363LF0000X

Andrea Jackson, CRNP

NPI 1053952150 · on the registry since 2019

Practice

Address
321 W Girard Ave
Philadelphia, PA 19123
Phone
(215) 685-6808
Organisation at this address
City Of Philadelphia
Centralized Comprehensive Human Services, Inc.
Philadelphia Department Of Public Health Center Pharmacy #6
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania