Individual
ANDREA ARNITA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
321 W GIRARD AVE, PHILADELPHIA, PA 19123-1531
(215) 685-6808
Mailing address
321 W GIRARD AVE, PHILADELPHIA, PA 19123-1531
(215) 685-3808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020063
PA
Other
Enumeration date
10/01/2019
Last updated
03/11/2026
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