Individual provider · Type 1 NPI

Emma J. Jackson, NP

Pediatric Registered Nurse · Lake Elsinore, CA

NPI number 1255809372 Active

Practice location

33048 Canopy Ln
Lake Elsinore, CA 92532-2535

Call (909) 614-3039 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN95042368 (CA)
Family Nurse Practitioner 363LF0000XNP950147 (CA)
Pediatric Registered Nurse Primary 163WP0200X95042368 (CA)

Pediatric Registered Nurse: Definition to come...

About NPI 1255809372

Emma J. Jackson, NP's National Provider Identifier is 1255809372, issued on Nov 6, 2018. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Lake Elsinore, CA. The record was last updated on Aug 7, 2020.