Individual
MRS. TERRANCE LASHAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PMHNP-BC
Contact information
Practice address
8605 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4109
(310) 488-4351
Mailing address
8605 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4109
(818) 405-8992
(855) 935-7320
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032559
CA
Other
Enumeration date
07/29/2024
Last updated
03/06/2025
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