Dr. Tatianie Alicia Jackson
Nuclear Medicine Specialist
1800 Mulberry St
Scranton
, Pennsylvania 18510-2369
Dr. Tatianie Alicia Jackson
Nuclear Medicine Specialist
1800 Mulberry St
Scranton
, Pennsylvania 18510-2369
(570) 271-6578
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Tatianie Alicia Jackson
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Fax : (570) 271-6578
- Phone : (570) 271-6144
Second Address
- Dr. Tatianie Alicia Jackson
- 1800 Mulberry St
- Scranton, PA
- Zip : 18510-2369
- Phone : (570) 703-8151
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 278083 | MA |
National Provider Identifier
| NPI | 1528313558 |
|---|---|
| Provider Name | Dr. Tatianie Alicia Jackson |
| First Address | Danville, PA 17822-4903 |
| Second Address | Scranton, PA 18510-2369 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2012 |
| Last Update Date | 25/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.