Search › Pennsylvania › 363LA2200X
Simone Jackson, ANP
NPI 1871041657 · on the registry since 2016 · sole proprietor
Practice
- Address
- 680 Blair Mill Rd
Horsham, PA 19044 - Phone
- (215) 902-9014
- Fax
- (877) 383-8544
- Organisation at this address
- Evercare By United Health Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 119
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
- Licence states on file
- GA, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-31
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