Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EMMA J JACKSON, NP
Active Sole ProprietorEMMA J JACKSON, NP is a Pediatric Nurse healthcare provider located in LAKE ELSINORE, California. NPI 1255809372 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1255809372
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2018 (7.5894129147344 yrs)
- Last Updated
- Aug 7, 2020
- Licenses
-
RN95042368 (CA)NP950147 (CA)95042368 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33048 CANOPY LNLAKE ELSINORE, CA, 925322535Browse CA providers · Browse ZIP 92532
- Phone
- 9096143039
- Primary Specialty
-
Pediatric Nurse
163WP0200X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Pediatric Nurse
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.