Individual
CARRIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1469 HUMBOLDT RD, SUITE 200, CHICO, CA 95928-9203
(530) 891-1917
(530) 893-9347
Mailing address
1442 ETHAN WAY, SUITE 200, SACRAMENTO, CA 95825-2231
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95085929
CA
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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