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Mr. Faison Jackson
Student in an Organized Health Care Education/Training Program in Elk Grove, California
NPI 1366132813

Faison Jackson is a Student in an Organized Health Care Education/Training Program based in Elk Grove, CA. Faison Jackson practices in Elk Grove, CA. The NPI Number for Faison Jackson is 1366132813 and holds a License No. (California).

The current practice location address for Faison Jackson is 10113 Van Brocklin Way, Elk Grove, CA and can be reached out via phone at 718-674-2683.

Location: 10113 Van Brocklin Way, Elk Grove, CA, 95757-2518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366132813
Provider Name
Faison Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
10113 Van Brocklin Way, Elk Grove, CA, 95757-2518
Phone Number
718-674-2683
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10113 Van Brocklin Way
City
Elk Grove
State
California
Zip
95757-2518
Phone Number
718-674-2683
Fax Number
person
Provider Business Mailing Address Details
Address
10113 Van Brocklin Way
City
Elk Grove
State
California
Zip
95757-2518
Phone Number
718-674-2683
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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