Individual provider · Type 1 NPI

Alice Jackson, RN NP

Nurse Practitioner · Fresno, CA

NPI number 1295754109 Active

Practice location

6121 N Thesta, Suite 303
Fresno, CA 93710-5294

Fax (559) 224-3920

Mailing address

PO Box 28947
Fresno, CA 93729-8947

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X358153 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295754109

Alice Jackson, RN NP's National Provider Identifier is 1295754109, issued on Jul 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fresno, CA. The record was last updated on Dec 14, 2007.