Individual provider · Type 1 NPI
Dee Valencia Jackson, RNP
Obstetrics & Gynecology Nurse Practitioner · Marina Del Rey, CA
NPI number
1306088646
Active
Practice location
4560 Admiralty Way
Marina Del Rey, CA 90292-5423
Mailing address
4500 Tweedy Blvd
South Gate, CA 90280-6334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 481901 (CA) |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 13354 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1306088646
Dee Valencia Jackson, RNP's National Provider Identifier is 1306088646, issued on Apr 1, 2009. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Marina Del Rey, CA. The record was last updated on Aug 4, 2026.