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
ZIP Code
19312-2410
Phone
(215) 346-6050

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology

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