Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Jackson

Individual provider Technician/Technologist · NPI 1679425060

Amy Jackson is a Technician/Technologist in Wilkes Barre, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2026
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Practice location Address checks out

1155 Highway 315 Blvd
Wilkes Barre, PA 18702-6928
Phone: (570) 235-1667
Fax: (570) 235-1667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence 230750 (PA)

Record details

NPI number1679425060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address1155 Highway 315 Blvd, Wilkes Barre, PA 18702-6928

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