Individual
ELISIA JACKSON-VOGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
2238 GEARY BLVD, 2ND FLOOR, SAN FRANCISCO, CA 94115-3416
(415) 833-2177
(415) 833-3235
Mailing address
2238 GEARY BLVD, 2ND FLOOR, SAN FRANCISCO, CA 94115-3416
(415) 833-2177
(415) 833-3235
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
546844
CA
163WX1500X
Ostomy Care Registered Nurse
546844
CA
Other
Enumeration date
07/02/2012
Last updated
01/03/2022
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