Individual provider · Type 1 NPI
Kathryn Lano Jackson, NURSE PRACTITIONER
Nurse Practitioner · Vacaville, CA
Practice location
421 Nut Tree Rd, Suite 140
Vacaville, CA 95687-3508
Fax (707) 624-7501
Mailing address
1001 Nut Tree Road, Suite 140
Vacaville, CA 95687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 441569 (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 1790907764
Kathryn Lano Jackson, NURSE PRACTITIONER's National Provider Identifier is 1790907764, issued on May 2, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vacaville, CA. The record was last updated on Dec 29, 2014.