Individual provider · Type 1 NPI
Maida Elena Jackson, FNP
Family Nurse Practitioner · Los Angeles, CA
NPI number
1043945157
Active
Practice location
3612 1/2 E 1st St
Los Angeles, CA 90063-2326
Fax (323) 264-7778
Mailing address
6137 E Dayton Ave
Fresno, CA 93727-8937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95015651 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1043945157
Maida Elena Jackson, FNP's National Provider Identifier is 1043945157, issued on Jul 21, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.