Colleen Delores Jackson, NURSE PRACTITIONER Valid NPI

Individual provider · Family Nurse Practitioner · West Hollywood, CA

NPI

1134331259

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

12835 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-03

Last updated

2007-07-08