Jackson, Kathryn Lano

Jackson, Kathryn Lano is an individual health care provider with primary practice located at 421 Nut Tree Rd Suite 140, Vacaville CA 95687-3508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Kathryn Lano can be contacted via phone (707) 624-7550.

Contact Information

Primary practice address
421 Nut Tree Rd Suite 140 Vacaville CA 95687-3508
Fax: (707) 624-7501
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 441569 California

Profile Details

NPI number 1790907764
LBN Legal business name Jackson, Kathryn Lano
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Dec 29th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790907764 NPPES
California Other 441569 CA BRN NURSE PRACTITIONER

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