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Ms. Paula Deaun Jackson

Nurse Practitioner - Pediatrics Nurse Practitioner - Community Health

160 E Erie Ave Suite 3311
Philadelphia , Pennsylvania 19134-1011

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Ms. Paula Deaun Jackson

Nurse Practitioner - Pediatrics Nurse Practitioner - Community Health

160 E Erie Ave Suite 3311
Philadelphia , Pennsylvania 19134-1011

(215) 492-8119

Write a Review Save Call

Ms. Paula Deaun Jackson

Nurse Practitioner - Pediatrics Nurse Practitioner - Community Health

160 E Erie Ave Suite 3311
Philadelphia , Pennsylvania 19134-1011

(215) 492-8119 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Community Health
  • Nurse Practitioner - Pediatrics

Languages spoken

  • English

Location

160 E Erie Ave Suite 3311 Philadelphia , Pennsylvania 19134-1011

First Address

  • Ms. Paula Deaun Jackson
  • 8438 Suffolk Pl
  • Philadelphia, PA
  • Zip : 19153-1913
  • Fax : (215) 492-8119
  • Phone : (215) 840-6000

Second Address

  • Ms. Paula Deaun Jackson
  • 160 E Erie Ave Suite 3311
  • Philadelphia, PA
  • Zip : 19134-1011
  • Fax : (215) 492-8119
  • Phone : (215) 427-3871

Reviews

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FAQs


Where did Ms. Paula Deaun Jackson attend graduate school?

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Where did Ms. Paula Deaun Jackson do her residency?

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Where did Ms. Paula Deaun Jackson do her fellowship?

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Is Ms. Paula Deaun Jackson board certified?

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What type of doctor is Ms. Paula Deaun Jackson

Nurse Practitioner - Pediatrics

In what state does Ms. Paula Deaun Jackson practice in?

Pennsylvania

Where is Ms. Paula Deaun Jackson ’s practice located?

160 E Erie Ave Suite 3311 , Philadelphia, Pennsylvania, 19134-1011

What is Ms. Paula Deaun Jackson ’s gender?

Female

Is Ms. Paula Deaun Jackson a sole practitioner?

No

Is Ms. Paula Deaun Jackson accepting new patients?

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What languages does Ms. Paula Deaun Jackson speak?

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Does Ms. Paula Deaun Jackson accept insurance?

Yes, Ms. Paula Deaun Jackson accepts insurance

Does Ms. Paula Deaun Jackson offers telemedicine?

Ms. Paula Deaun Jackson has not indicated if she offers telemedicine

What is Ms. Paula Deaun Jackson ’s professional license number?

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What is Ms. Paula Deaun Jackson ’s NPI number?

1801877907

Does Ms. Paula Deaun Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LC1500X Nurse Practitioner - Community Health 26NJ00025500 NJ
Y 363LP0200X Nurse Practitioner - Pediatrics TP004745D PA

National Provider Identifier

NPI 1801877907
Provider Name Ms. Paula Deaun Jackson
First Address Philadelphia, PA 19153-1913
Second Address Philadelphia, PA 19134-1011
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/11/2005
Last Update Date 09/11/2015

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1709420 (05) PA
9036407 (05) NJ
S60760 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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