Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DEANGELO JACKSON, NURSE PRACTITIONER
Active Sole ProprietorMICHAEL DEANGELO JACKSON, NURSE PRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in LONG BEACH, California. NPI 1821879958 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · LONG BEACH, CA
Registration Details
- NPI Number
- 1821879958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2023 (2.8308820724853 yrs)
- Last Updated
- Jan 13, 2026
- License
-
95027684 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 W BROADWAY STE 310LONG BEACH, CA, 908024438Browse CA providers · Browse ZIP 90802
- Phone
- 5624916465
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in LONG BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| ANNE THOMPSON | NP | 1083683684 |
| JILL SCHMIDT | N.P. | 1508825761 |
| MRS. CHARLENE SCOTT | RN, NP, PHN | 1013035377 |
| MS. LORI LEE BERKEMER | NP | 1124242490 |
| FAITH TUBI | REGISTERED NURSE | 1851588875 |
| CATHERINE L BAKER | ARNP | 1013105501 |
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.