Individual
MRS. BRIANNA SARAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1355 OLD YORK RD, ABINGTON, PA 19001-3413
(215) 886-2433
Mailing address
1233 ALLENGROVE ST, PHILADELPHIA, PA 19124-2903
(434) 444-7126
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-312748
PA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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