IndividualActive
Amanda Jackson, C.R.N.P
NPI 1285068825 · Adult Health Nurse Practitioner · Philadelphia, PA
Provider details
- NPI number
- 1285068825
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- C.R.N.P
- Sex
- Female
- Sole proprietor
- No
- License
- SP013151 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
925 Chestnut St
Suite 320a
Philadelphia, PA 19107-4216
Phone: (215) 955-8874
Approximate (ZIP-level) locationGet directions
Mailing address
925 Chestnut St
Philadelphia, PA 19107-4216
Registry dates
- Enumerated
- 2013-08-30
- Last updated
- 2014-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.