# JACKNOLIA URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174981906
- **Authorized official:** JENNIFER CHAPMAN (ADMINISTRATOR)
- **Authorized official phone:** (951) 353-1021

## Contact information

- **Practice address:** 9041 MAGNOLIA AVE, SUITE 107, RIVERSIDE, CA 92503-3900
- **Practice address phone:** (951) 353-1021
- **Mailing address:** 6848 MAGNOLIA AVE, SUITE 230, RIVERSIDE, CA 92506-2857
- **Mailing address phone:** (951) 682-9911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2016
- **Last updated:** 02/08/2016