Individual provider · Type 1 NPI

Kyla Jackson

Student in an Organized Health Care Education/Training Program · Montclair, CA

NPI number 1932085263 Active

Practice location

4825 Cypress St Unit 210
Montclair, CA 91763-1451

Call (707) 293-6681 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1932085263

Kyla Jackson's National Provider Identifier is 1932085263, issued on Aug 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montclair, CA. The record was last updated on Aug 13, 2025.