Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ATEEYA JACKSON, NURSE PRACTITIONER
Active Sole ProprietorMS. ATEEYA JACKSON, NURSE PRACTITIONER is a Nurse Practitioner healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1073279311 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1073279311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2021 (4.5724439899631 yrs)
- Last Updated
- Oct 31, 2025
- Licenses
-
RN623432 (PA)SP030946 (PA)26NJ1540330 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 N BROAD STPHILADELPHIA, PA, 191223319Browse PA providers · Browse ZIP 19122
- Phone
- 2674575553
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DEBRA MCGRATH | C.R.N.P. | 1043213671 |
| BINH LUONG APPLEGATE | C.R.N.P. | 1063415610 |
| LESTER COHEN | C.R.N.P. | 1497758965 |
| MS. SARA L. ALLEN | CRNP | 1063410793 |
| JOANNE HENNING | CRNP | 1497747109 |
| MRS. CHERYL E JONES | CNP | 1437145752 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.