Kalyse Danae Jackson, RN, NP Valid NPI
Individual provider · Family Nurse Practitioner · Palmdale, CA
- NPI
- 1801427448
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 95014247 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-02-02
- Last updated
- 2020-03-19
Practice location
1405 W Rancho Vista Blvd
Palmdale, CA 93551-3968
(373) 783-9423