Search › Pennsylvania › 208000000X
Jodi Jackson
NPI 1750384616 · on the registry since 2005
Practice
- Address
- 8791 Barnes Lake Rd
Ste 202
Irwin, PA 15642 - Phone
- (724) 864-6834
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-25
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