Individual
FERNAY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 FLORIN PERKINS RD, SACRAMENTO, CA 95826-3900
(916) 874-1531
(916) 854-9480
Mailing address
3201 FLORIN PERKINS RD, SACRAMENTO, CA 95826-3900
(916) 874-1531
(916) 854-9480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
321251
CA
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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