NPI 1306531462

Jamil K Jackson

Practitioner Driver Lansdowne, PA

Practice location

Address: 315 Clearbrook Ave, Lansdowne, PA 19050-1040
Phone: (267) 972-1223

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1306531462
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2023
Record last updated: 5 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.