Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERIC LESLIE JACKSON, DO, MPH
Active Sole ProprietorFREDERIC LESLIE JACKSON, DO, MPH is a Hospice and Palliative Medicine healthcare provider located in ESCONDIDO, California. NPI 1255407318 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · ESCONDIDO, CA
Registration Details
- NPI Number
- 1255407318
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2006 (19.685104078176 yrs)
- Last Updated
- Dec 13, 2008
- Licenses
-
0102032316 (VA)OS0004196 (FL)20A10056 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2402 OLD RANCH RDESCONDIDO, CA, 920276727Browse CA providers · Browse ZIP 92027
- Phone
- 7608555423
- Fax
- 8773590651
- Primary Specialty
-
Hospice and Palliative Medicine
207QH0002X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Hospice and Palliative Medicine
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.