MS. Colleen Delores Jackson, NURSE PRACTITIONER
NPI #1134331259 in West Hollywood, California
Provider Information
- NPI Number
- 1134331259
- Entity Type
- Individual
- Name
- MS. Colleen Delores Jackson, NURSE PRACTITIONER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NURSE PRACTITIONER
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8700 BEVERLY BLVD
- Address 2
- THALIANS 2W, RM 218
- City
- West Hollywood
- State
- California
- ZIP Code
- 90048-1804
- Phone
- (310) 423-8572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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