Individual provider · Type 1 NPI

Sara L. Jackson

Nurse Practitioner · Chino, CA

NPI number 1689223646 Active

Practice location

5562 Philadelphia St Ste 303
Chino, CA 91710-2499

Mailing address

5562 Philadelphia St Ste 301
Chino, CA 91710-2499

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP95016889 (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 1689223646

Sara L. Jackson's National Provider Identifier is 1689223646, issued on Sep 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chino, CA. The record was last updated on May 27, 2021.