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Jackalyn Gowder
NPI 1932817111 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1700 Pine St
Norristown, PA 19401 - Phone
- (610) 239-7100
- Organisation at this address
- 1700 Pine Street Opco, Llc
Ltc Aco Participant 104, Pc
Ltc Aco Participant 108, Pc
Ltc Aco Participant 105, Pc
Ltc Aco Participant 109, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-07
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