NPI 1003372772

Jamika Jackson

Practitioner Licensed Psychiatric Technician Riverside, CA

Practice location

Address: 17270 Roosevelt St, Riverside, CA 92508-9523
Phone: (951) 683-6596
Mailing address: 5870 Arlington Ave, Riverside, CA 92504-2037

Registered specialties

Licensed Psychiatric Technician Primary

Nursing Service Providers Taxonomy 167G00000X Licence 41047 (CA)

Other Licensed Psychiatric Technician providers in California →

Registry record

NPI: 1003372772
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2019
Record last updated: 31 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.