Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. COLLEEN DELORES JACKSON, NURSE PRACTITIONER
Active Sole ProprietorMS. COLLEEN DELORES JACKSON, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in WEST HOLLYWOOD, California. NPI 1134331259 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · WEST HOLLYWOOD, CA
Registration Details
- NPI Number
- 1134331259
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2007 (19.254444449935 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12835 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8700 BEVERLY BLVDTHALIANS 2W, RM 218WEST HOLLYWOOD, CA, 900481804Browse CA providers · Browse ZIP 90048
- Phone
- 3104238572
- Fax
- 3104238550
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in WEST HOLLYWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| SHEILA NAVIDI | CFNP | 1598833899 |
| MRS. TERESA KANIS VENCILL | ARNP | 1871702456 |
| MRS. SEDA MARTYROSSIAN GHARAPETIAN | MSN-FNP | 1417283433 |
| MS. PATRICE DANIELS | FNP-C | 1861707861 |
| CARMEN SAVANNAH SAUNDERS | FNP-BC | 1568769115 |
| MS. MARINA LAZAREVNA VERNAYA | MSN, FNP-C | 1457643611 |
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.