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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629940978

Jeannine Jenat Jackson is a Psychiatric/Mental Health Nurse Practitioner in Huntington Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

7400 Center Ave Apt 548
Huntington Beach, CA 92647-9191
Phone: (301) 412-4019
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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 95036775 (CA)

Record details

NPI number1629940978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2025
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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