Search › Pennsylvania › 253Z00000X
Melody Jackson
NPI 1316601511 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1667 N Allison St
Philadelphia, PA 19131 - Phone
- (267) 658-9971
- Organisation at this address
- Javinnis Angles
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Also registered as
- 251E00000X
376J00000X
385H00000X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania