Individual
MS. SIMONE D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
680 BLAIR MILL RD, HORSHAM, PA 19044-2223
(215) 902-9014
(877) 383-8544
Mailing address
680 BLAIR MILL RD, HORSHAM, PA 19044-2223
(267) 908-2465
(877) 383-8544
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN162091
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP019087
PA
Other
Enumeration date
09/21/2016
Last updated
10/31/2018
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