ALICE JACKSON

FRESNO, CA
NPI1295754109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  358153)
Enumeration Date2006-07-19
Last Update Date2007-12-14
Business Address
-- ALICE JACKSON RN NP
6121 N THESTA SUITE 303
FRESNO, CA 93710-5294
Phone number: 559-228-5448
Mailing Address
-- ALICE JACKSON RN NP
PO BOX 28947
FRESNO, CA 93729-8947
Phone number: 559-228-5448