IndividualActive
Charles Jackson, B.S., TSS
NPI 1427600378 · Clinic/Center · Collingdale, PA
Provider details
- NPI number
- 1427600378
- Entity type
- Individual
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Credential
- B.S., TSS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
320 Macdade Blvd Ste 205
Collingdale, PA 19023-1926
Phone: (610) 522-4506
Approximate (ZIP-level) locationGet directions
Mailing address
512 W 22nd St Apt 2
Wilmington, DE 19802-4086
Registry dates
- Enumerated
- 2019-07-11
- Last updated
- 2019-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.