Lisa Ann Jackson, CRNA
NPI #1215174990 in Havertown, Pennsylvania
Provider Information
- NPI Number
- 1215174990
- Entity Type
- Individual
- Name
- Lisa Ann Jackson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 16, 2009
- Last Updated
- Jan 16, 2009
Practice Location
- Address
- 2010 OLD W CHESTER PIKE
- Address 2
- SUITE 330
- City
- Havertown
- State
- Pennsylvania
- ZIP Code
- 19083-2712
- Phone
- (610) 789-8070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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