Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TATIANIE ALICIA JACKSON, MD
ActiveDR. TATIANIE ALICIA JACKSON, MD is a 2085N0904X healthcare provider located in HERSHEY, Pennsylvania. NPI 1528313558 is currently active in the NPPES registry. Verify at CMS.
2085N0904X · HERSHEY, PA
Registration Details
- NPI Number
- 1528313558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2012 (14.04253600204 yrs)
- Last Updated
- Jun 11, 2024
- Licenses
-
278083 (MA)278083 (MA)MD470854 (PA)
Practice Information
- Address
-
500 UNIVERSITY DRMC CA410HERSHEY, PA, 170332360Browse PA providers · Browse ZIP 17033
- Phone
- 1753180447
- Fax
- 7175315596
- Primary Specialty
-
2085N0904X
2085N0904X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- 2085N0904X
Other 2085N0904X Providers in HERSHEY, PA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH STEPHEN FOTOS | MD | 1710114186 |
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.