Individual
JACKIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 AMERICAN AVE STE 302, KING OF PRUSSIA, PA 19406-4023
(917) 634-5311
Mailing address
680 AMERICAN AVE STE 302, KING OF PRUSSIA, PA 19406-4023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
076925
CT
390200000X
Student in an Organized Health Care Education/Training Program
076925
CT
Other
Enumeration date
05/12/2021
Last updated
07/21/2025
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