JOSHUA ROBERT JACKSON APRN NPI 1255174769

NPI Information

  • NPI: 1255174769
  • Provider Name: JOSHUA ROBERT JACKSON, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 18111 BROOKHURST ST
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 378-7000

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NPI Details

Joshua Robert Jackson, APRN is a family nurse practitioner in Fountain Valley, CA. Joshua Robert Jackson, APRN NPI is 1255174769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18111 BROOKHURST ST
FOUNTAIN VALLEY, CA
ZIP 92708-728
Phone: (714) 378-7000

The enumeration date for this NPI number is 6/13/2024 and was last updated on 6/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95024697CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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