Search › California › Psychiatric/Mental Health Nurse Practitioner

Jackson Tea, MSN, PMHNP-BC

NPI 1477365997 · on the registry since 2025 · sole proprietor

Practice

Address: 1720 W Ball Rd Ste 4c
Anaheim, CA 92804
Phone: (714) 683-1472
Fax: (714) 683-1473
Organisation at this address: Coast Medical, Pc
South Coast Pediatrics
Novo Behavioral Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Additional practice sites

421 N Brookhurst St Ste 119, Anaheim, CA
354 Uluniu St Ste 404, Kailua, HI

Registry record

Primary taxonomy: Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-15

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