Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DANIELLE LEENORA JACKSON, PA-C
Active Sole ProprietorMRS. DANIELLE LEENORA JACKSON, PA-C is a Physician Assistant healthcare provider located in SAUSALITO, California. NPI 1770711459 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAUSALITO, CA
Registration Details
- NPI Number
- 1770711459
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2009 (17.097709449362 yrs)
- Last Updated
- Jan 9, 2013
- Licenses
-
PA030597 (DC)C0003980 (MD)PA21525 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 DRAKE AVESAUSALITO, CA, 949651107Browse CA providers · Browse ZIP 94965
- Phone
- 4153398813
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SAUSALITO, CA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE G CULLINANE | PA C | 1093708901 |
| MS. ELISABETH G CAIN | PA-C | 1750701736 |
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.