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LISA JACKSON
NPI 1053029017
Nursing Home Administrator in Fresno, CA

Active since November 09, 2022
8050 N PALM AVE STE 300, FRESNO, CA 93711(866) 981-0656(866) 571-5484 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA JACKSON (NPI 1053029017) is an individual nursing home administrator provider in Fresno, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1053029017
Entity TypeIndividualFemale
Primary Taxonomy376G00000X
Provider Legal NameLISA JACKSON
Location Address8050 N PALM AVE STE 300Fresno, CA 93711-5510
Mailing Address8050 N Palm Ave Ste 300Fresno, CA 93711-5510 · (866) 981-0656 · Fax (866) 571-5484
Phone(866) 981-0656
Fax(866) 571-5484
Sole ProprietorNo
Enumeration DateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1053029017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
8050 N PALM AVE STE 300, Fresno, CA 93711
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSYCO KULTURE, LLC
Transportation Broker
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (559) 421-0291
HEALTH KULTURE LLC
Non-emergency Medical Transport (VAN)
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (866) 981-0656
DR. ANGELICA DAMORE DSW, LCSW
Social Worker (Clinical)
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (559) 225-6100
MS. ASHLEY CHRISTINE DELGADO
Marriage & Family Therapist
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (559) 207-5330
ELEVATE YOU COUNSELING, A LICENSED CLINICAL SOCIAL WORKER PC
Social Worker (Clinical)
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (559) 272-4110
ZELEXA-CALIFORNIA LLC
Behavior Analyst
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (559) 499-8246
TRILLIUM HOSPICE INC.
Hospice Care, Community Based
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (559) 389-5137
CENTRAL RECOVERY CENTER, LLC.
Marriage & Family Therapist
8050 N PALM AVE STE 300
FRESNO, CA 93711
Fresno County (559) 389-5098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1053029017. It was assigned to this individual provider in the NPPES registry on November 9, 2022.

Where is Lisa Jackson located?

Lisa Jackson practices at 8050 N Palm Ave Ste 300, Fresno, CA 93711. The listed phone number is (866) 981-0656.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.