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

Individual provider Family Nurse Practitioner · NPI 1053952150

Andrea Arnita Jackson, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with City of Philadelphia, a 87-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

321 W Girard Ave
Philadelphia, PA 19123-1531
Phone: (215) 685-6808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP020063 (PA)

Record details

NPI number1053952150
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice City Of Philadelphia — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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