Ms. Ateeya Jackson
NURSE PRACTITIONER | Nurse Practitioner
1501 N Broad St, Philadelphia
Pennsylvania, 19122-3319
267-457-5553
Ms. Ateeya Jackson is a Philadelphia, Pennsylvania based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Ms. Ateeya Jackson is 26NJ1540330 in New Jersey. Her current practice location is 1501 N Broad St, Philadelphia. Patients can reach her at 267-457-5553. Ms. Ateeya Jackson is NURSE PRACTITIONER with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1073279311.
Ms. Ateeya Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Ateeya Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Ateeya Jackson |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Practice Address: | 1501 N Broad St, Philadelphia,
Pennsylvania, 19122-3319 |
| Phone: | 267-457-5553 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1073279311 |
| NPI Enumeration Date: | 11 Nov, 2021 |
| NPI Last Update On: | 31 Oct, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Ateeya Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 26NJ1540330 | | New Jersey | Primary | |
| RN623432 | Registered Nurse | Pennsylvania | Secondary | |
| SP030946 | Family | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Ateeya Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6957677 | Medicaid | Pennsylvania | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Ateeya Jackson
325 Chestnut St Ste 876,
Philadelphia, Pennsylvania |
| Zip: | 19106-2614 |
| Phone Number: | 215-929-6116 |
Patients can reach Ms. Ateeya Jackson at
1501 N Broad St, Philadelphia, Pennsylvania or can
call to book an appointment on 267-457-5553.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.