Individual
MR. DOUGLAS GILBERT JACKSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
14827 FOOTHILL RD, SANTA PAULA, CA 93060-9733
(805) 525-5233
Mailing address
14827 FOOTHILL RD, SANTA PAULA, CA 93060-9733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
320553
CA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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