Individual
LYNETTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 PARKSIDE AVE, PHILADELPHIA, PA 19131-4714
(215) 879-6116
Mailing address
6139 NASSAU RD, PHILADELPHIA, PA 19151-4506
(267) 973-1679
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN106995L
PA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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