Gracie Ellen Jackson, PMHNP-BC
Gracie Ellen Jackson, PMHNP-BC is a Nurse Practitioner in South Pasadena, California. Qualified in 2020, 6 years ago. Practices with Pacific Clinics, a 74-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2020
What do these letters mean?
- PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
- A board-certified psychiatric nurse practitioner.
Practice location Address checks out
625 Fair Oaks Ave Ste 300South Pasadena, CA 91030-5805
Phone: (626) 441-4221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence NP95015149 (CA) |
|---|
Record details
| NPI number | 1255956314 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP-BC |
| Sole proprietor | No |
| NPI enumerated | June 14, 2020 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 11, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Pacific Clinics — 74 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in South Pasadena
-
George Lam
625 Fair Oaks Ave, South Pasadena, CA 91030-2630 · (626) 441-4221