NPI 1104581024
Steven Bryce Jackson
Practice location
- Address
- 900 W Belgravia Ave, Fresno, CA 93706-3909
- Phone
- (559) 265-2045
Registered specialties
Basic Emergency Medical Technician
Primary
Registry record
- NPI
- 1104581024
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Nov 2021
- Record last updated
- 4 Nov 2021
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.