Individual
MS. VERNETTA O JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BS,CCM
Contact information
Practice address
4121 W 62ND ST, LOS ANGELES, CA 90043-3612
(323) 620-0507
Mailing address
4121 W. 62ND ST, LOS ANGELES, CA 90043
(323) 620-0507
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
375590
CA
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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