person
Gracie Ellen Jackson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in South Pasadena, California
NPI 1255956314

Gracie Ellen Jackson is a Psychiatric/Mental Health Nurse Practitioner based in South Pasadena, CA and is specialized in Psychiatric/Mental Health. Gracie Ellen Jackson practices in South Pasadena, CA and has the professional credentials of PMHNP-BC. The NPI Number for Gracie Ellen Jackson is 1255956314 and holds a License No. NP95015149 (California).

The current practice location address for Gracie Ellen Jackson is 625 Fair Oaks Ave Ste 300, South Pasadena, CA and can be reached out via phone at 626-441-4221.

Location: 625 Fair Oaks Ave Ste 300, South Pasadena, CA, 91030-5805
person
Provider Profile Details
NPI Number
1255956314
Provider Name
Gracie Ellen Jackson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
625 Fair Oaks Ave Ste 300, South Pasadena, CA, 91030-5805
Phone Number
626-441-4221
Fax Number
Provider Enumeration Date
06/14/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
625 Fair Oaks Ave Ste 300
City
State
Zip
91030-5805
Phone Number
626-441-4221
Fax Number
person
Provider Business Mailing Address Details
Address
625 Fair Oaks Ave Ste 300
City
State
Zip
91030-5805
Phone Number
626-441-4221
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
NP95015149 (California)
Definition
Definition to come...
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