Michael Deangelo Jackson, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in San Diego, CA. Michael Deangelo Jackson, NURSE PRACTITIONER NPI is 1821879958. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
200 W ARBOR DR
SAN DIEGO, CA
ZIP 92103-000
Phone: (619) 543-2154
The enumeration date for this NPI number is 10/13/2023 and was last updated on 10/13/2023.