Jackson, Ivette Syra

Jackson, Ivette Syra is an individual health care provider with primary practice located at 8700 Beverly Blvd # 4311 , West Hollywood CA 90048-1804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Jackson, Ivette Syra can be contacted via phone (310) 423-4451.

Contact Information

Primary practice address
8700 Beverly Blvd # 4311 West Hollywood CA 90048-1804
Phone: (310) 423-4451
Fax: (310) 423-2114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 111345 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X ARNP 9350748 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 95007329 California

Profile Details

NPI number 1699036756
LBN Legal business name Jackson, Ivette Syra
Credentials APRN-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Sep 24th, 2020 - about 4 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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