NPI 1053029017
Lisa Jackson
Practice location
- Address
- 8050 N Palm Ave STE 300, Fresno, CA 93711-5510
- Phone
- (866) 981-0656
- Fax
- (866) 571-5484
Registered specialties
Nursing Home Administrator
Primary
Registry record
- NPI
- 1053029017
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Nov 2022
- Record last updated
- 9 Nov 2022
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.