IndividualActive
Tatianie Jackson, MD
NPI 1528313558 · Nuclear Radiology Physician · Hershey, PA
Provider details
- NPI number
- 1528313558
- Entity type
- Individual
- Primary specialty
- Nuclear Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 278083 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
500 University Dr
Mc Ca410
Hershey, PA 17033-2360
Phone: (175) 318-0447
Fax: (717) 531-5596
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Additional practice locations (2)
- 820 Harrison AveBoston, MA 02118-2905Phone: (617) 638-6616
- 1800 Mulberry StScranton, PA 18510-2369Phone: (570) 703-8151
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.