GRACIE JACKSON, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1255956314

Practice Address

625 FAIR OAKS AVE STE 300
South Pasadena, CA 91030

Phone: (626) 441-4221

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes NP95015149 (CA)

Frequently Asked Questions

NPI 1255956314 is the National Provider Identifier for GRACIE JACKSON, PMHNP-BC, a Nurse Practitioner - Psychiatric/Mental Health provider located in South Pasadena, CA. This NPI was enumerated on June 14, 2020.
GRACIE JACKSON, PMHNP-BC practices at 625 FAIR OAKS AVE STE 300, South Pasadena, CA 91030.

Quick Facts

NPI
1255956314
Type
Individual
Enumerated
Jun 14, 2020
Last Updated
Mar 11, 2024

Nearby Providers

Same Specialty