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Kelley J Jackson, WHNP
Women's Health Nurse Practitioner in Placerville, California
NPI 1558044644

Kelley J Jackson is a Women's Health Nurse Practitioner based in Folsom, CA and is specialized in Women's Health. Kelley J Jackson practices in Placerville, CA and has the professional credentials of WHNP. The NPI Number for Kelley J Jackson is 1558044644 and holds a License No. 95026533 (California).

The current practice location address for Kelley J Jackson is 1095 Marshall Way, Placerville, CA and can be reached out via phone at 530-344-5470.

Location: 1095 Marshall Way, Placerville, CA, 95630-7814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558044644
Provider Name
Kelley J Jackson
Credential
WHNP
Provider Entity Type
Individual
Gender
Female
Address
1095 Marshall Way, Placerville, CA, 95630-7814
Phone Number
530-344-5470
Fax Number
Provider Enumeration Date
08/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1095 Marshall Way
City
Placerville
State
California
Zip
95667-5722
Phone Number
530-344-5470
Fax Number
person
Provider Business Mailing Address Details
Address
1095 Marshall Way
City
Placerville
State
California
Zip
95667-5722
Phone Number
530-344-5470
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
363LW0102X
License No.
95026533 (California)
Definition
Definition to come...
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