Individual provider · Type 1 NPI

Joshua Robert Jackson, APRN

Family Nurse Practitioner · Fountain Valley, CA

NPI number 1255174769 Active

Practice location

18111 Brookhurst St
Fountain Valley, CA 92708-6728

Mailing address

3956 Lavine Way Unit 104
Corona, CA 92883-3651

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95024697 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1255174769

Joshua Robert Jackson, APRN's National Provider Identifier is 1255174769, issued on Jun 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fountain Valley, CA. The record was last updated on Jun 13, 2024.