person
Maida Elena Jackson, FNP
Family Nurse Practitioner in Los Angeles, California
NPI 1043945157

Maida Elena Jackson is a Family Nurse Practitioner based in Fresno, CA and is specialized in Family. Maida Elena Jackson practices in Los Angeles, CA and has the professional credentials of FNP. The NPI Number for Maida Elena Jackson is 1043945157 and holds a License No. 95015651 (California).

The current practice location address for Maida Elena Jackson is 3612 1/2 E 1St St, Los Angeles, CA and can be reached out via phone at 323-264-7796 and via fax at 323-264-7778.

Location: 3612 1/2 E 1St St, Los Angeles, CA, 93727-8937
person
Provider Profile Details
NPI Number
1043945157
Provider Name
Maida Elena Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3612 1/2 E 1St St, Los Angeles, CA, 93727-8937
Phone Number
323-264-7796
Fax Number
323-264-7778
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3612 1/2 E 1St St
City
State
Zip
90063-2326
Phone Number
323-264-7796
Fax Number
323-264-7778
person
Provider Business Mailing Address Details
Address
3612 1/2 E 1St St
City
State
Zip
90063-2326
Phone Number
323-264-7796
Fax Number
323-264-7778
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95015651 (California)
Definition
Definition to come...
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