SearchCalifornia176B00000X

Chanell Jackson, NMW, WHNP

NPI 1356011597 · on the registry since 2021

Practice

Address
5883 1/2 Doverwood Dr
Culver City, CA 90230
Phone
(310) 848-7736

Registry record

Primary taxonomy
176B00000X
176B00000X
Also registered as
363LW0102X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California