Gallegos-Jackson, Elisa

Gallegos-Jackson, Elisa is an individual health care provider with primary practice located at 1947 Center St 2Nd Floor, Berkeley CA 94704-1169. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gallegos-Jackson, Elisa can be contacted via phone (510) 981-7684.

Contact Information

Primary practice address
1947 Center St 2Nd Floor Berkeley CA 94704-1169
Phone: (510) 981-7684
Fax: (510) 981-5345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN493217 California

Profile Details

NPI number 1013199389
LBN Legal business name Gallegos-Jackson, Elisa
Credentials RN, PHN
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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