Individual
MRS. KAREN LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2675 APPIAN WAY, PINOLE, CA 94564-2202
(510) 222-8403
(510) 222-8277
Mailing address
364 PLOVER PL, PITTSBURG, CA 94565-1905
(210) 685-1113
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
698773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
698773
CALIFORNIA BOARD OF REGISTERED NURSES
CA
Enumeration date
12/09/2011
Last updated
12/09/2011
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