Jackson, Sara Elizabeth

Jackson, Sara Elizabeth is an individual health care provider with primary practice located at 1800 N 12Th St , Reading PA 19604-3347. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson, Sara Elizabeth can be contacted via phone (610) 816-5728.

Contact Information

Primary practice address
1800 N 12Th St Reading PA 19604-3347
Phone: (610) 816-5728
Fax: (610) 816-5710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP025637 Pennsylvania

Profile Details

NPI number 1720716475
LBN Legal business name Jackson, Sara Elizabeth
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2022
Last updated May 23rd, 2024 - about 6 months 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 1720716475 NPPES
Pennsylvania Other MEDICARE 2L6567
Pennsylvania MEDICAID 104140610-0002 2L6567

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