Search › Pennsylvania › 363LA2100X
Garth Jackson, AGACNP-BC
NPI 1467146878 · on the registry since 2023 · sole proprietor
Practice
- Address
- 79 Spinythorn Rd
Levittown, PA 19056 - Phone
- (215) 783-8014
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-07
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