Individual
GRACIE ELLEN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805
(626) 441-4221
Mailing address
625 FAIR OAKS AVE STE 300, SOUTH PASADENA, CA 91030-5805
(626) 441-4221
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95015149
CA
Other
Enumeration date
06/14/2020
Last updated
03/11/2024
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