Individual provider · Type 1 NPI

Robert Warren Jackson

Nurse Practitioner · Tarzana, CA

NPI number 1689471310 Active

Practice location

18370 Burbank Blvd Ste 204
Tarzana, CA 91356-2851

Mailing address

1680 Country Club Dr
Glendale, CA 91208-2065

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95034064 (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 1689471310

Robert Warren Jackson's National Provider Identifier is 1689471310, issued on Feb 28, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tarzana, CA. The record was last updated on Feb 28, 2025.