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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAYLOR BUCHANAN JACKSON, FNP

Active

TAYLOR BUCHANAN JACKSON, FNP is a Nurse Practitioner healthcare provider located in SAN DIEGO, California. NPI 1205292455 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SAN DIEGO, CA

Registration Details

NPI Number
1205292455
Provider Type
Individual
Gender
Female
NPI Issued
Jan 4, 2016 (10.627266722596 yrs)
Last Updated
Jul 24, 2024
Licenses
R190900 (MD)
95003121 (CA)
5017962 (NC)

Practice Information

Address
4510 EXECUTIVE DR STE 215
SAN DIEGO, CA, 921213023
Browse CA providers · Browse ZIP 92121
Phone
8586576624
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in SAN DIEGO, CA

Name Credential NPI
DR. JEREMY RAY FLOWERS N.P. 1013913045
NANCY J BRASS-MYNDERSE CFNP, MSN 1164421962
YOUNGMI P KIM N.P. 1720089618
VICKI TARVER FAUCHER FNP 1295724375
MELISSA D MCLENON NP 1801887179
MS. EILEEN C CHERRY NP 1336121698
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.