Jackie Jackson
NPI #1952147530 in Tulare, California
Provider Information
- NPI Number
- 1952147530
- Entity Type
- Individual
- Name
- Jackie Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jul 3, 2024
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 201 N K ST
- City
- Tulare
- State
- California
- ZIP Code
- 93274-4005
- Phone
- (559) 521-9023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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