Most Relevant Information
Provider Data
| NPI Number: | 1003259029 |
| Provider Name: | CAROL ANN JACKSON LVN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 260646 |
Most Important Dates
| Enumeration Date: | 04/09/2013 |
| Last Updated: | 04/09/2013 |
Provider Practice Location
592 RIO LINDO AVE
CHICO
CA
959261817
Practice Location Phone/Fax
| Phone: | 5308912775 |
| Fax: |
Provider Mailing Location
592 RIO LINDO AVE
CHICO
CA
959261817
Provider Mailing Phone/Fax
| Phone: | 5308912775 |
| Fax: |