Individual
MRS. DANIELLE JACKSON-TROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1875 S GRANT ST, SAN MATEO, CA 94402-2666
(888) 227-8884
Mailing address
1875 S GRANT ST, SAN MATEO, CA 94402-2666
(888) 227-8884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0933462-NP
CO
363L00000X
Nurse Practitioner
APRN9355283
FL
363LF0000X
Family Nurse Practitioner
95348406
CA
363LF0000X
Family Nurse Practitioner
APN.0933462-NP
CO
363LF0000X
Family Nurse Practitioner
APRN9355283
FL
Other
Enumeration date
10/03/2017
Last updated
11/05/2025
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