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

Dr. Tatianie Alicia Jackson, MD

Individual provider Nuclear Medicine Physician · NPI 1528313558

Dr. Tatianie Alicia Jackson, MD is a Diagnostic Radiology in Hershey, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
17
Licensed in
MA, PA
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 University Dr Mc CA410
Hershey, PA 17033-2360
Phone: (175) 318-0447
Fax: (717) 531-5596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 820 Harrison Ave, Boston, MA 02118-2905 — (617) 638-6616
  • 1800 Mulberry St, Scranton, PA 18510-2369 — (570) 703-8151

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence MD470854 (PA)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 278083 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 278083 (MA)

Record details

NPI number1528313558
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2012
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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