Individual provider · Type 1 NPI

Marykatherine Elaine Jackson

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

NPI number 1992360291 Active

Practice location

42455 10th St W Ste 103
Lancaster, CA 93534-7060

Call (661) 341-3900 Map

Other practice locations

  • 43449 Elite Ln, Lancaster, CA 93535-4825 · (805) 358-1964
  • 43449 Elite Ln, Lancaster, CA 93535-4825 · (805) 358-1964

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 1992360291

Marykatherine Elaine Jackson's National Provider Identifier is 1992360291, issued on May 2, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lancaster, CA. The record was last updated on Mar 5, 2020.