Individual
DELISA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27206 CALAROGA AVE STE 203, HAYWARD, CA 94545-4300
(341) 234-0414
Mailing address
27206 CALAROGA AVE STE 203, HAYWARD, CA 94545-4300
(341) 234-0414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95028931
CA
Other
Enumeration date
04/02/2024
Last updated
01/21/2026
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