Jackson, Jeanne Marie

Jackson, Jeanne Marie is an sole proprietor health care provider with primary practice located at 3734 Santiago Creek Way , Ontario CA 91761-0203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Jeanne Marie can be contacted via phone (909) 582-5140.

Contact Information

Primary practice address
3734 Santiago Creek Way Ontario CA 91761-0203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 705082 California

Profile Details

NPI number 1508622150
LBN Legal business name Jackson, Jeanne Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2024
Last updated Feb 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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