Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Y. Jackson, CRNP, SP020082

Individual provider Family Nurse Practitioner · NPI 1124583653

Tara Y. Jackson, CRNP, SP020082 is a Family Nurse Practitioner in West Chester, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
Specialties on file
3
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

507 Seeger Ln
West Chester, PA 19380-4586
Phone: (267) 378-1743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 507 Seeger Ln, West Chester, PA 19380-4586 — (267) 378-1743

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP020082 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN527439L (PA)
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X · Licence SP020082 (PA)

Record details

NPI number1124583653
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP , SP020082
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESAugust 1, 2026
Certification dateAugust 1, 2026

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