Search › California › 171M00000X
Jackeline Wilson-Lebron
NPI 1649757303 · on the registry since 2018
Practice
- Address
- 1260 Morena Blvd Ste 100
San Diego, CA 92110 - Phone
- (619) 398-0355
- Organisation at this address
- Impact
Community Research Foundation
Community Research Foundation Inc
Community Research Foundation IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 232
Additional practice sites
- 2865 Logan Ave, San Diego, CA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-03
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