MS. Samala Jackson, CRNP is a gerontology nurse practitioner in Philadelphia, PA with 7 years of experience. MS. Samala Jackson, CRNP NPI is 1184362600. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9200 BUSTLETON AVE APT 1705
PHILADELPHIA, PA
ZIP 19115-230
Phone: (215) 760-6386
The NPI 1184362600 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/24/2022.