Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MICHELLE DENISE JACKSON, LPT
ActiveLicensed Genetic Counselor · BANNING, CA
Registration Details
- NPI Number
- 1033460761
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2012 (13.585679219263 yrs)
- Last Updated
- Sep 20, 2012
- License
-
PT 30277 (CA)
Practice Information
- Address
-
1330 W RAMSEY ST STE 100BANNING, CA, 922204477Browse CA providers · Browse ZIP 92220
- Phone
- 9518497142
- Fax
- 9518491762
- Primary Specialty
-
Licensed Genetic Counselor
167G00000X
Other Licensed Genetic Counselor Providers in BANNING, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER LOUISE PONDER- PETERS | — | 1376780296 |
| BERTHA ALICIA ALATORRE | LPT | 1740824085 |
| KATELYN TEMPLE HUTCHINSON ARELLANO | LPT | 1700420817 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.