Jackson, Colleen Delores
Jackson, Colleen Delores is an sole proprietor health care provider with primary practice located at 8700 Beverly Blvd Thalians 2W, Rm 218, West Hollywood CA 90048-1804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Colleen Delores can be contacted via phone (310) 423-8572.Contact Information
Primary practice address
8700 Beverly Blvd Thalians 2W, Rm 218
West Hollywood CA 90048-1804
Phone: (310) 423-8572
Fax: (310) 423-8550
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 12835 | California |
Profile Details
NPI number | 1134331259 |
---|---|
LBN Legal business name | Jackson, Colleen Delores |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2007 |
Last updated | Jul 8th, 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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