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Search › Pennsylvania › Gerontology Nurse Practitioner

Samala Jackson, CRNP

NPI 1184362600 · on the registry since 2022 · sole proprietor

Practice

Address
1055 Westlakes Dr Ste 3152
Berwyn, PA 19312
Phone
(215) 346-6050
Fax
(215) 220-3562
Organisation at this address
Vpa Pc
Vpa Pc
Vpa Pc
Ahrx Llc
Avacare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Additional practice sites

  • 9200 Bustleton Ave Apt 1705, Philadelphia, PA
  • 3621 Aramingo Ave Ste 5c, Philadelphia, PA

Registry record

Primary taxonomy
Gerontology Nurse Practitioner
363LG0600X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-24

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