Jackson, Tanagra

Jackson, Tanagra is an individual health care provider with primary practice located at 30427 Delta Dr , Nuevo CA 92567-9470. 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, Tanagra can be contacted via phone (773) 530-5217.

Contact Information

Primary practice address
30427 Delta Dr Nuevo CA 92567-9470
Phone: (773) 530-5217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95021964 California

Profile Details

NPI number 1912620022
LBN Legal business name Jackson, Tanagra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 2022 - about 3 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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