Jackson, Sara L

Jackson, Sara L is an individual health care provider with primary practice located at 5562 Philadelphia St Ste 303 , Chino CA 91710-2499. 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, Sara L can be contacted via phone (148) 684-3712.

Contact Information

Primary practice address
5562 Philadelphia St Ste 303 Chino CA 91710-2499
Phone: (148) 684-3712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP95016889 California

Profile Details

NPI number 1689223646
LBN Legal business name Jackson, Sara L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated May 27th, 2021 - 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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