Individual provider · Type 1 NPI
Jeannine Jenat Jackson
Psychiatric/Mental Health Nurse Practitioner · Huntington Beach, CA
NPI number
1629940978
Active
Practice location
7400 Center Ave Apt 548
Huntington Beach, CA 92647-9191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95036775 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1629940978
Jeannine Jenat Jackson's National Provider Identifier is 1629940978, issued on Sep 18, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Huntington Beach, CA. The record was last updated on Sep 18, 2025.