KELLEY J JACKSON

PLACERVILLE, CA
NPI1558044644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: CA  95026533)
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
KELLEY J JACKSON WHNP
1095 MARSHALL WAY
PLACERVILLE, CA 95667-5722
Phone number: 530-344-5470
Mailing Address
KELLEY J JACKSON WHNP
1550 IRON POINT RD APT 1312
FOLSOM, CA 95630-7814
Phone number: 916-202-8490
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