Individual
MRS. DANIELLE LEENORA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 FRUITVALE AVE, OAKLAND, CA 94601-2313
(510) 535-4110
Mailing address
1450 FRUITVALE AVE, OAKLAND, CA 94601-2313
(510) 535-4110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003980
MD
363A00000X
Physician Assistant
PA030597
DC
363A00000X
Physician Assistant
Primary
PA21525
CA
Other
Enumeration date
07/01/2009
Last updated
04/28/2026
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