Individual provider · Type 1 NPI

Brian Jeffry Jackson, NP

Family Nurse Practitioner · Newport Beach, CA

NPI number 1174080030 Active

Practice location

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505

Mailing address

3801 Marquette Pl Apt 4C
San Diego, CA 92106-1059

Other practice locations

  • 3801 Marquette Pl Apt 4C, San Diego, CA 92106-1059 · (541) 550-6572

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95010531 (CA)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1174080030

Brian Jeffry Jackson, NP's National Provider Identifier is 1174080030, issued on Feb 27, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 3, 2019.