Search › Pennsylvania › 101YM0800X
Anthony Jackson, M.DIV., M.A., D.MIN
NPI 1922410448 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1826 Chelsea Rd
Elkins Park, PA 19027 - Phone
- (267) 625-9433
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-02
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