EMMA JACKSON, NP

Pediatric Registered Nurse · LAKE ELSINORE, CA

Individual Active NPI 1255809372

Taxonomy & licensure

Specialty	Code	Primary	License	State
Pediatric Registered Nurse	163WP0200X	✓	95042368	CA
Registered Nurse	163W00000X		RN95042368	CA
Family Nurse Practitioner	363LF0000X		NP950147	CA

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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AMANDA SMITH, RN
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AMY BARTLETT
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See all Pediatric Registered Nurse providers in California →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.