NPI 1912386509
Joseph Jackson
Practice location
- Address
- 250 Bon Air Rd, Greenbrae, CA 94904-1702
- Phone
- (707) 327-7784
- Mailing address
- 6044 Oak Leaf Pl, Rohnert Park, CA 94928-2991
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1912386509
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 28 May 2015
- Record last updated
- 13 Jul 2023
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.