DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANDREA ARNITA JACKSON CRNP

MEDICARE: ANDREA ARNITA JACKSON CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP020063PA

General Provider Information

NPI Number : 1053952150
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA ARNITA JACKSON CRNP
Provider Business Mailing Address
First Line : 321 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-1531
Country : US
Telephone Number : 215-685-3808
Fax Number :
Provider Business Practice Location Address
First Line : 321 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-1531
Country : US
Telephone Number : 215-685-6808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 03/11/2026

Similar Medicare Providers

1750300240 — LISA A. MASLANKOWSKI MD
Practice Location Address:
321 W GIRARD AVE , HEALTH CENTER #6
PHILADELPHIA, PA
19123-1531
Practice Phone: 215-685-3808
Practice Fax: 215-685-3852
1306858360 — DR. ADA IRIS CANINO M.D.
Practice Location Address:
321 W GIRARD AVE , HEALTH CARE CENTER #6
PHILADELPHIA, PA
19123-1531
Practice Phone: 215-685-3803
Practice Fax: 215-685-3848
1457363723 — DR. YELENA GALKIN M.D.
Practice Location Address:
321 W GIRARD AVE , HEALTH CARE CENTER #6
PHILADELPHIA, PA
19123-1531
Practice Phone: 215-685-3803
Practice Fax: 215-685-3848
1902819865 — DR. SMITA MRUGANK MEHTA M.D.
Practice Location Address:
321 W GIRARD AVE , HEALTH CARE CENTER #6
PHILADELPHIA, PA
19123-1531
Practice Phone: 215-685-3803
Practice Fax: 215-685-3848
1467465989 — DR. KALPANA ARUN VAIDYA M.D.
Practice Location Address:
321 W GIRARD AVE , HEALTH CARE CENTER #6
PHILADELPHIA, PA
19123-1531
Practice Phone: 215-685-3803
Practice Fax: 215-685-3848
1699788117 — DR. BARTON DAVID SCHEINFELDT D.O.
Practice Location Address:
321 W GIRARD AVE , HEALTH CARE CENTER #6
PHILADELPHIA, PA
19123-1531
Practice Phone: 215-685-3803
Practice Fax: 215-685-3848

Directions to “ ANDREA ARNITA JACKSON CRNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.