Individual provider · Type 1 NPI

Jenifer Lynn Jackson

Specialist · Alta, CA

NPI number 1629194972 Active

Practice location

34248 E. Towle Rd
Alta, CA 95701

Call (530) 389-9208 Map

Fax (530) 389-9209

Mailing address

2215 Colonial Vlg Apt 3
Auburn, CA 95603-9540

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4946 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629194972

Jenifer Lynn Jackson's National Provider Identifier is 1629194972, issued on Mar 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Alta, CA. The record was last updated on Nov 9, 2007.