Individual
SUSAN S JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
110 N MAIN ST, GREENVILLE, PA 16125-1726
(724) 589-1616
Mailing address
200 LOTHROP ST, FORBES TOWER, SUITE 9055, PITTSBURGH, PA 15213-2536
(412) 647-3087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011073
PA
Other
Enumeration date
12/30/2010
Last updated
09/20/2024
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