Jackson, Sandra F

Jackson, Sandra F is an sole proprietor health care provider with primary practice located at 23 W 37Th St , Wilmington DE 19802-2225. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jackson, Sandra F can be contacted via phone (302) 450-4551.

Contact Information

Primary practice address
23 W 37Th St Wilmington DE 19802-2225
Phone: (302) 450-4551
Fax: (302) 355-2550
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG-0000519 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP008227 Pennsylvania

Profile Details

NPI number 1396717286
LBN Legal business name Jackson, Sandra F
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2006
Last updated Jun 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396717286 NPPES
Delaware MEDICAID 1396717286 363L00000

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