MS. ATEEYA JACKSON RN NPI 1073279311

NPI Information

NPI: 1073279311
Provider Name: MS. ATEEYA JACKSON, RN
Classification: Registered Nurse - 163WI0500X
Entity Type: Individual

Specialization: Infusion Therapy

Address:
325 CHESTNUT ST STE 876
PHILADELPHIA, PA
ZIP 19106
Phone: (215) 929-6116
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MS. Ateeya Jackson, RN is an infusion therapy registered nurse in Philadelphia, PA. MS. Ateeya Jackson, RN NPI is 1073279311. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 CHESTNUT ST STE 876
PHILADELPHIA, PA
ZIP 19106-614
Phone: (215) 929-6116

The enumeration date for this NPI number is 11/11/2021 and was last updated on 11/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WI0500X	Registered Nurse	Infusion Therapy	RN623432	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6957677	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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