MS. Colleen Delores Jackson, NURSEPRACTITIONER
MS. Colleen Delores Jackson, NURSEPRACTITIONER is a Family Nurse Practitioner in West Hollywood, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
8700 Beverly Blvd Thalians 2W Rm 218West Hollywood, CA 90048-1804
Phone: (310) 423-8572
Fax: (310) 423-8550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 12835 (CA) |
|---|
Record details
| NPI number | 1134331259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
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