SUZANNE A MARCINKO JACKSON NP NPI 1972565950

NPI Information

NPI: 1972565950
Provider Name: SUZANNE A MARCINKO JACKSON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2649 SCHOENERSVILLE RD
SUITE 100
BETHLEHEM, PA
ZIP 18017
Phone: (484) 884-8146
Get Directions

Suzanne A Marcinko Jackson, NP is a family nurse practitioner in Bethlehem, PA. Suzanne A Marcinko Jackson, NP NPI is 1972565950. 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:

2649 SCHOENERSVILLE RD
SUITE 100
BETHLEHEM, PA
ZIP 18017-326
Phone: (484) 884-8146
Fax: (484) 884-8176

The NPI 1972565950 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 4/5/2006 and was last updated on 11/30/2016.

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	363LF0000X	Nurse Practitioner	Family	F331810	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	TP004351B	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	S46242	MEDICARE UPIN
2	PB4846	MEDICARE PIN	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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