Jackson, Emma J

Jackson, Emma J is an sole proprietor health care provider with primary practice located at 33048 Canopy Ln , Lake Elsinore CA 92532-2535. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. Jackson, Emma J can be contacted via phone (909) 614-3039.

Contact Information

Primary practice address
33048 Canopy Ln Lake Elsinore CA 92532-2535
Phone: (909) 614-3039
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN95042368 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP950147 California
Nursing Service Providers / Pediatrics 163WP0200X 95042368 California

Profile Details

NPI number 1255809372
LBN Legal business name Jackson, Emma J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2018
Last updated Aug 7th, 2020 - about 5 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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