MISS MONIQUE RACHELLE JACKSON


Address: 1120 W. Washington Blvd., Los Angeles, CA 90015
Phone: 2136232225

MISS MONIQUE RACHELLE JACKSON (NPI# 1952338543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952338543
Entity Type Individual
Full Name MISS MONIQUE RACHELLE JACKSON
Credential CFNP
Practice Address 1120 W. Washington Blvd.
Los Angeles
CA 90015
Practice Telephone 2136232225
Practice Fax Number 2138615825
Mailing Telephone 2136232225
Mailing Fax Number 2138615825
Enumeration Date 2006-06-27
Last Update Date 2018-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
8338 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NP0083380 05

Other Providers MONIQUE JACKSON

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1295026946 Monique Jackson Pharmacist 1728 S Madison St, Whiteville, NC 28472-4934 2011-04-28
1295951291 Monique Rochell Jackson Nursing Care 121 Oregon Ave, Ewing, NJ 08638 2007-04-18
1114579208 Monique Jackson Counselor 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 2019-07-10
1811482235 Monique Jackson Registered Nurse 89 Bartlett St, Brooklyn, NY 11206-4463 2018-06-27
1427594092 Monique Jackson Social Worker 9701 Philadelphia Ct Ste R, Lanham, MD 20706-4435 2017-01-06
1730622150 Monique Kimberly Jackson Social Worker 8 Atwood Dr, Suite 301, Northampton, MA 01060-4266 2016-12-02
1609224062 Monique Jackson Home Health Aide 1416 9th St Nw, Washington, DC 20001-3344 2016-05-26

Office Location

Street Address 1120 W. WASHINGTON BLVD.
City LOS ANGELES
State CA
Zip Code 90015

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184224156 Via Care Community Health Center Clinic/Center 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 2020-10-29
1225650955 Luis Alvarado Student in an Organized Health Care Education/Training Program 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 2020-05-15
1386290385 Amy M Powell Student in an Organized Health Care Education/Training Program 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 2019-08-15
1881170199 Angie Andreina Trias Sanchez Student in an Organized Health Care Education/Training Program 936 S Olive St Apt 154, Los Angeles, CA 90015 2018-07-19
1083148753 Central Neighborhood Health Foundation - Fontana Clinic/Center 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 2017-04-19
1255871711 Ethan Lin Student in an Organized Health Care Education/Training Program 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 2017-03-03
1972055093 Yvonne Perez Social Worker 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 2016-10-25
1356896492 Mayano Ochi Midwife 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 2016-08-18
1518321686 Cielo Reyna-donaldson Registered Nurse 1520 South Olive Street, Los Angeles, CA 90015 2016-04-05
1891175774 Amanecer Community Counseling Service Community/Behavioral Health 1500 S Olive St Rm 506, Los Angeles, CA 90015 2015-06-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962003640 Samira Kadri Nurse Practitioner 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 2020-11-08
1528672110 Christopher Tria Coronel Nurse Practitioner 3435 Garden Ave, Los Angeles, CA 90039-1919 2020-09-01
1871119701 Carina Lizette Guerra Nurse Practitioner St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 2020-06-16
1548884216 En Route Medical Staffing LLC Nurse Practitioner 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 2020-05-29
1922621432 Latasha Tracy Warren Nurse Practitioner 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 2020-05-19
1578184966 Shin Il Kim Nurse Practitioner 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 2020-04-27
1457971160 Karen Kim-chang Nurse Practitioner 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 2020-04-22
1912534033 Anthony Felipe Banuelos Villa Nurse Practitioner 3437 Ellison St, Los Angeles, CA 90063-1901 2020-03-26
1629605506 Ana Yely Nunez Nunez Nurse Practitioner 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 2020-03-23
1154957769 Maybel Deguzman Dumlao Nurse Practitioner 4371 Stewart Ave, Los Angeles, CA 90066-6133 2020-03-14
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Competitor

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City LOS ANGELES
Zip Code 90015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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