person
Ms. Colleen Delores Jackson, NURSEPRACTITIONER
Family Nurse Practitioner in West Hollywood, California
NPI 1134331259

Colleen Delores Jackson is a Family Nurse Practitioner based in Pasadena, CA and is specialized in Family. Colleen Delores Jackson practices in West Hollywood, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Colleen Delores Jackson is 1134331259 and holds a License No. 12835 (California).

The current practice location address for Colleen Delores Jackson is 8700 Beverly Blvd, West Hollywood, CA and can be reached out via phone at 310-423-8572 and via fax at 310-423-8550.

Location: 8700 Beverly Blvd, West Hollywood, CA, 91103-2961
person
Provider Profile Details
NPI Number
1134331259
Provider Name
Colleen Delores Jackson
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
8700 Beverly Blvd, West Hollywood, CA, 91103-2961
Phone Number
310-423-8572
Fax Number
310-423-8550
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd
City
State
Zip
90048-1804
Phone Number
310-423-8572
Fax Number
310-423-8550
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd
City
State
Zip
90048-1804
Phone Number
310-423-8572
Fax Number
310-423-8550
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12835 (California)
Definition
Definition to come...
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