Individual provider · Type 1 NPI

Elisa Gallegos-Jackson, RN, PHN

Registered Nurse · Berkeley, CA

NPI number 1013199389 Active

Practice location

1947 Center St, 2nd Floor
Berkeley, CA 94704-1169

Call (510) 981-7684 Map

Fax (510) 981-5345

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN493217 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1013199389

Elisa Gallegos-Jackson, RN, PHN's National Provider Identifier is 1013199389, issued on Nov 28, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Berkeley, CA. The record was last updated on Nov 28, 2007.