Individual
DANIELLE ERIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2131 HERNDON AVE STE 103, CLOVIS, CA 93611-6304
(559) 483-9911
(559) 387-5499
Mailing address
2131 HERNDON AVE STE 103, CLOVIS, CA 93611-6304
(559) 483-9911
(559) 387-5499
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
772506
CA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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