Most Relevant Information
Provider Data
| NPI Number: | 1003698085 |
| Provider Name: | AUJANAE JACKSON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2023 |
| Last Updated: | 10/16/2023 |
Provider Practice Location
390 40TH ST
OAKLAND
CA
946092633
Practice Location Phone/Fax
| Phone: | 5106130330 |
| Fax: |
Provider Mailing Location
390 40TH ST
OAKLAND
CA
946092633
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |