Individual provider · Type 1 NPI

Marisol Jackson

Family Nurse Practitioner · Martinez, CA

NPI number 1972135119 Active

Practice location

150 Muir Rd
Martinez, CA 94553-4668

Mailing address

101 El Bonito Way
Benicia, CA 94510-2216

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95012702 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1972135119

Marisol Jackson's National Provider Identifier is 1972135119, issued on Feb 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Martinez, CA. The record was last updated on Feb 5, 2020.