PAULA DEAUN JACKSON CRNP NPI 1801877907

NPI Information

  • NPI: 1801877907
  • Provider Name: PAULA DEAUN JACKSON, CRNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 160 E ERIE AVE STE 3311
    PHILADELPHIA, PA
    ZIP 19134
  • Phone: (215) 427-3803

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NPI Details

Paula Deaun Jackson, CRNP is a psychiatric/mental health nurse practitioner in Philadelphia, PA. Paula Deaun Jackson, CRNP NPI is 1801877907. 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:

160 E ERIE AVE STE 3311
PHILADELPHIA, PA
ZIP 19134-011
Phone: (215) 427-3803
Fax: (215) 492-8119

The NPI 1801877907 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 11/7/2005 and was last updated on 12/15/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthSP030377PENNSYLVANIAYes
2363LC1500XNurse PractitionerCommunity Health26NJ00025500NEW JERSEYNo
3363L00000XNurse PractitionerTP004745DPENNSYLVANIANo

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: 11/21/2025

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