Jackson, Marilyn Orio

Jackson, Marilyn Orio is an individual health care provider with primary practice located at 41715 Winchester Rd Suite 204, Temecula CA 92590-4808. 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, Marilyn Orio can be contacted via phone (951) 719-1414.

Contact Information

Primary practice address
41715 Winchester Rd Suite 204 Temecula CA 92590-4808
Phone: (951) 719-1414
Fax: (951) 719-3158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13164 California

Profile Details

NPI number 1699847913
LBN Legal business name Jackson, Marilyn Orio
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Dec 16th, 2011 - about 14 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 1699847913 NPPES
California MEDICAID RN288619

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