Individual provider · Type 1 NPI

Alysha Jackson

Specialist · Sacramento, CA

NPI number 1104632157 Active

Practice location

4610 X St
Sacramento, CA 95817-2200

Call (707) 853-7242 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104632157

Alysha Jackson's National Provider Identifier is 1104632157, issued on Dec 5, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Apr 29, 2025.