Jackson, Renae

Jackson, Renae is an individual health care provider with primary practice located at 25460 Medical Center Drive, Suite 100 , Murrieta CA 92562. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jackson, Renae can be contacted via phone (951) 677-4748.

Contact Information

Primary practice address
25460 Medical Center Drive, Suite 100 Murrieta CA 92562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A193442 California

Profile Details

NPI number 1629605746
LBN Legal business name Jackson, Renae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2020
Last updated Oct 29th, 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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