ANT'QUINETTE JACKSON MSN WHNP NPI 1750853347

NPI Information

NPI: 1750853347
Provider Name: ANT'QUINETTE JACKSON, MSN, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
400 W 30TH ST
LOS ANGELES, CA
ZIP 90007
Phone: (213) 284-3200
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Ant'quinette Jackson, MSN, WHNP is a women's health nurse practitioner in Los Angeles, CA. Ant'quinette Jackson, MSN, WHNP NPI is 1750853347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 W 30TH ST
LOS ANGELES, CA
ZIP 90007-320
Phone: (213) 284-3200

The enumeration date for this NPI number is 12/20/2018 and was last updated on 12/20/2018.

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
1	363LW0102X	Nurse Practitioner	Women's Health	95010731	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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