Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal L Jackson

Individual provider Attendant Care Provider · NPI 1407666217

Crystal L Jackson is an Attendant Care Provider in Marina, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3004 Pinnacles Way
Marina, CA 93933-5401
Phone: (831) 252-0538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1407666217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address3004 Pinnacles Way, Marina, CA 93933-5401

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