Individual
PASIA-ARI JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP, CNS
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-8358
(310) 825-0731
(310) 794-2104
Mailing address
12975 AGUSTIN PL, LOS ANGELES, CA 90094-2307
(323) 769-9229
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95008161
CA
Other
Enumeration date
01/05/2018
Last updated
03/17/2018
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