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

Stephanie E Jackson, REGISTEREDNURSE

Individual provider Home Health Registered Nurse · NPI 1215738091

Stephanie E Jackson, REGISTEREDNURSE is a Home Health Registered Nurse in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

5902 Old York Rd
Philadelphia, PA 19141-2342
Phone: (215) 406-8673
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence RN799102 (PA)

Record details

NPI number1215738091
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedMarch 19, 2025
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

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