Jackson, Tatianie Alicia

Jackson, Tatianie Alicia is an individual health care provider with primary practice located at 500 University Dr Mc Ca410, Hershey PA 17033-2360. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is her primary health care specialty. Jackson, Tatianie Alicia can be contacted via phone (175) 318-0447.

Contact Information

Primary practice address
500 University Dr Mc Ca410 Hershey PA 17033-2360
Phone: (175) 318-0447
Fax: (717) 531-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 278083 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 278083 Massachusetts
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MD470854 Pennsylvania

Profile Details

NPI number 1528313558
LBN Legal business name Jackson, Tatianie Alicia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2012
Last updated Jun 11th, 2024 - about last year

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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