Individual
ALEXIS BREASIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 LOTHROP ST # 12F, PITTSBURGH, PA 15213-2536
(412) 647-2345
Mailing address
2600 BLACKRIDGE AVE, PENN HILLS, PA 15235-4127
(412) 482-2515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP029227
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP029227
PA
Other
Enumeration date
02/01/2024
Last updated
01/21/2026
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