MS. Samala Jackson, CRNP
NPI #1184362600 in Berwyn, Pennsylvania
Provider Information
- NPI Number
- 1184362600
- Entity Type
- Individual
- Name
- MS. Samala Jackson, CRNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- CRNP
- Enumeration Date
- May 24, 2022
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 1055 WESTLAKES DR STE 3152
- City
- Berwyn
- State
- Pennsylvania
- ZIP Code
- 19312-2410
- Phone
- (215) 346-6050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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