Individual provider · Type 1 NPI
Terrance Lashan Jackson, RN, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · West Hollywood, CA
NPI number
1063241255
Active
Practice location
8605 Santa Monica Blvd
West Hollywood, CA 90069-4109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95032559 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063241255
Terrance Lashan Jackson, RN, MSN, PMHNP-BC's National Provider Identifier is 1063241255, issued on Jul 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Hollywood, CA. The record was last updated on Mar 6, 2025.