CAROL JACKSON, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1104993963
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | NA359 (CA) |
Frequently Asked Questions
NPI 1104993963 is the National Provider Identifier for CAROL JACKSON, CRNA, a Nurse Anesthetist, Certified Registered provider located in Los Angeles, CA. This NPI was enumerated on November 29, 2006.
CAROL JACKSON, CRNA practices at 4760 W SUNSET BLVD, Los Angeles, CA 90027.
Quick Facts
- NPI
- 1104993963
- Type
- Individual
- Enumerated
- Nov 29, 2006
- Last Updated
- Nov 29, 2007
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