JOSHUA ROBERT JACKSON APRN
NPI 1255174769
Nurse Practitioner - Family in Fountain Valley, CA

Active since June 13, 2024
18111 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(714) 378-7000 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua Robert Jackson Aprn NPPES

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

JOSHUA ROBERT JACKSON APRN (NPI 1255174769) is an individual family provider in Fountain Valley, California, licensed in California (95024697) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1255174769
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSHUA ROBERT JACKSONCredential: APRN
Location Address18111 BROOKHURST STFountain Valley, CA 92708-6728
Mailing Address3956 Lavine Way Unit 104Corona, CA 92883-3651 · (352) 286-9333
Sole ProprietorNo
Enumeration DateJune 13, 2024
NPPES CertifiedJune 13, 2024
NPI 1255174769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95024697
18111 BROOKHURST ST, Fountain Valley, CA 92708

Other Providers at the Same Location NPPES 20

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

Radiology (Radiation Oncology)
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Neurological Surgery
18111 BROOKHURST ST, 5800
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Acute Care)
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Internal Medicine
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Family)
18111 BROOKHURST ST, SUITE 6100
FOUNTAIN VALLEY, CA 92708
Physician Assistant
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Acute Care)
18111 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Specialist
18111 BROOKHURST ST, SUITE 5600
FOUNTAIN VALLEY, CA 92708

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 Joshua Jackson's NPI number?

The NPI number for Joshua Jackson is 1255174769. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Joshua Jackson located?

Joshua Jackson practices at 18111 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (714) 378-7000.

What is Joshua Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Joshua Jackson was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.