Individual
CANDACE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5231 PENN AVE, PITTSBURGH, PA 15224-1768
(412) 204-9100
Mailing address
1400 HARRIS AVE, PITTSBURGH, PA 15205-3946
(724) 236-2222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN567536
PA
Other
Enumeration date
10/06/2025
Last updated
10/24/2025
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