Search › Pennsylvania › 225100000X

Amanda Jackson

NPI 1477982106 · on the registry since 2013

Practice

Address
500 Philadelphia Ave
Shillington, PA 19607
Phone
(610) 796-7022
Organisation at this address
Philadelphia Avenue Associates
500 East Philadelphia Avenue Opco, Llc
500 East Philadelphia Avenue Operations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-04

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