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

Janice Jackson

Individual provider Physician Assistant · NPI 1699420257

Janice Jackson is a Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1731 E 120th St
Los Angeles, CA 90059-3051
Phone: (323) 563-4800
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118209 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1699420257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2022
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

Other providers in Los Angeles