person
Ivette Syra Jackson, APRN-NP
Critical Care Neonatal Nurse Practitioner in West Hollywood, California
NPI 1699036756

Ivette Syra Jackson is a Critical Care Neonatal Nurse Practitioner based in Torrance, CA and is specialized in Neonatal, Critical Care. Ivette Syra Jackson practices in West Hollywood, CA and has the professional credentials of APRN-NP. The NPI Number for Ivette Syra Jackson is 1699036756 and holds a License No. 111345 (California).

The current practice location address for Ivette Syra Jackson is 8700 Beverly Blvd # 4311, West Hollywood, CA and can be reached out via phone at 310-423-4451 and via fax at 310-423-2114.

Location: 8700 Beverly Blvd # 4311, West Hollywood, CA, 90504-5513
person
Provider Profile Details
NPI Number
1699036756
Provider Name
Ivette Syra Jackson
Credential
APRN-NP
Provider Entity Type
Individual
Gender
Female
Address
8700 Beverly Blvd # 4311, West Hollywood, CA, 90504-5513
Phone Number
310-423-4451
Fax Number
310-423-2114
Provider Enumeration Date
06/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8700 Beverly Blvd # 4311
City
State
Zip
90048-1804
Phone Number
310-423-4451
Fax Number
310-423-2114
person
Provider Business Mailing Address Details
Address
8700 Beverly Blvd # 4311
City
State
Zip
90048-1804
Phone Number
310-423-4451
Fax Number
310-423-2114
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
111345 (Nebraska)
Definition
Definition to come...
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