Search › California › 106S00000X
Jerrelle Waters Jackson
NPI 1831911742 · on the registry since 2024 · sole proprietor
Practice
- Address
- 23 Harbor Rd # 23
San Francisco, CA 94124 - Phone
- (650) 770-3917
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-30
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