Provider Profile

Ateeya Jackson, NURSE PRACTITIONER

Unclaimed Profile

About Ateeya Jackson

Listed in the NPI registry as a nurse practitioner, Ateeya Jackson, NURSE PRACTITIONER practices in Philadelphia, PA. Ateeya is also listed as specializing in nurse practitioner — family.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2019

Specialty

Nurse Practitioner (Primary)
Nurse Practitioner — Family (Additional)
Nurse Practitioner (Additional)

Credentials & Licensing

PA licenseRN623432
PA licenseSP030946
NJ license26NJ1540330
NPI1073279311
NPI issued11/11/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Ateeya Jackson specialize in?

Ateeya Jackson is a nurse practitioner in Philadelphia, PA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Ateeya Jackson located?

Ateeya Jackson is listed at 1501 N Broad St, Philadelphia, PA 19122. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Ateeya Jackson's phone number?

The number on file is (267) 457-5553. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Ateeya Jackson?

Ateeya Jackson's National Provider Identifier is 1073279311. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Ateeya Jackson train?

Ateeya Jackson attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Ateeya Jackson have?

Ateeya Jackson has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

Is Ateeya Jackson's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Ateeya Jackson. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.