Kathryn Lano Jackson NURSE PRACTITIONER

NPI 1790907764 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1790907764
Gender Female
Enumeration Date 05/02/2007
Last Updated 12/29/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
421 NUT TREE RD
SUITE 140
VACAVILLE CA, 95687-3508, US
Phone (707) 624-7550
Fax (707) 624-7501
Business Location
1001 NUT TREE ROAD
SUITE 140
VACAVILLE CA, 95687, US
Phone (707) 448-9350
Fax (707) 448-3572
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number 441569
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According to our database, Kathryn Lano Jackson NURSE PRACTITIONER NPI is 1790907764, taxonomy code is 363L00000X and license number is 441569, license state is located at California. Kathryn Lano Jackson NURSE PRACTITIONER physically located at 421 Nut Tree Rd, Vacaville CA, 95687-3508. NPI Number Kathryn Lano Jackson NURSE PRACTITIONER has the Individual type.

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1790907764 NPI number is provided on an as is basis without warranty of any kind. 1790907764 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn Lano Jackson NURSE PRACTITIONER are for informational purposes only.