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Individual

JOANN JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
127 ANDERSON ST STE 101, PITTSBURGH, PA 15212-5803
(412) 322-4151
Mailing address
381 44TH ST, PITTSBURGH, PA 15201-1711
(412) 370-6032

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017804
PA

Other

Enumeration date
07/19/2017
Last updated
10/16/2018
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