Individual
ANGELA VERA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.- C
Contact information
Practice address
394 PEARSON DR, PORTERVILLE, CA 93257-3368
(559) 783-8383
Mailing address
PO BOX 487, SPRINGVILLE, CA 93265-0487
(559) 786-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003924
CA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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