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

MS. Ateeya Jackson, NURSEPRACTITIONER

Individual provider Infusion Therapy Registered Nurse · NPI 1073279311

MS. Ateeya Jackson, NURSEPRACTITIONER is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Ahpaffs, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
7
Licensed in
NJ, PA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

1501 N Broad St
Philadelphia, PA 19122-3319
Phone: (267) 457-5553
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ1540330 (NJ)
Infusion Therapy Registered Nurse Taxonomy 163WI0500X · Licence RN623432 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP030946 (PA)

Record details

NPI number1073279311
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedNovember 11, 2021
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ahpaffs,Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Philadelphia