Jackson, Tijuana
Jackson, Tijuana is an sole proprietor health care provider with primary practice located at Po Box 1754 , Discovery Bay CA 94505-7754. 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, Tijuana can be contacted via phone (209) 647-8767.Contact Information
Primary practice address
Po Box 1754
Discovery Bay CA 94505-7754
Phone: (209) 647-8767
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95030044 | California |
Profile Details
| NPI number | 1407692841 |
|---|---|
| LBN Legal business name | Jackson, Tijuana |
| Credentials | DNP-FNPBC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2024 |
| Last updated | Jul 5th, 2024 - about last year |
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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