Individual provider · Type 1 NPI
Marlene Esther Jackson, NP
Family Nurse Practitioner · Palm Springs, CA
NPI number
1790781417
Active
Practice location
1695 N Sunrise Way Ste 202
Palm Springs, CA 92262-5572
Fax (760) 778-2214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP6799 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1790781417
Marlene Esther Jackson, NP's National Provider Identifier is 1790781417, issued on Jun 27, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palm Springs, CA. The record was last updated on Jan 28, 2020.