person
Michael Deangelo Jackson, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in San Diego, California
NPI 1821879958

Michael Deangelo Jackson is a Psychiatric/Mental Health Nurse Practitioner based in Chula Vista, CA and is specialized in Psychiatric/Mental Health. Michael Deangelo Jackson practices in San Diego, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Michael Deangelo Jackson is 1821879958 and holds a License No. 95027684 (California).

The current practice location address for Michael Deangelo Jackson is 200 W Arbor Dr, San Diego, CA and can be reached out via phone at 619-543-2154.

Location: 200 W Arbor Dr, San Diego, CA, 91915-1826
person
Provider Profile Details
NPI Number
1821879958
Provider Name
Michael Deangelo Jackson
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
200 W Arbor Dr, San Diego, CA, 91915-1826
Phone Number
619-543-2154
Fax Number
Provider Enumeration Date
10/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 W Arbor Dr
City
State
Zip
92103-9000
Phone Number
619-543-2154
Fax Number
person
Provider Business Mailing Address Details
Address
200 W Arbor Dr
City
State
Zip
92103-9000
Phone Number
619-543-2154
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.
95027684 (California)
Definition
Definition to come...
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