Jackson, Kelley J

Jackson, Kelley J is an sole proprietor health care provider with primary practice located at 1095 Marshall Way , Placerville CA 95667-5722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Jackson, Kelley J can be contacted via phone (530) 344-5470.

Contact Information

Primary practice address
1095 Marshall Way Placerville CA 95667-5722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 95026533 California

Profile Details

NPI number 1558044644
LBN Legal business name Jackson, Kelley J
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2023
Last updated Aug 8th, 2023 - about 3 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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