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

Individual provider Acute Care Nurse Practitioner · NPI 1215275763

Andrea L Jackson, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2013
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

3400 Spruce St 6 Silverstein
Philadelphia, PA 19104-4206
Phone: (215) 615-4949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP012594 (PA)

Record details

NPI number1215275763
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 17, 2013
Last updated in NPPESJanuary 17, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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