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ALICE JACKSON RN NP
NPI 1295754109
Nurse Practitioner in Fresno, CA

Active since July 19, 2006
6121 N THESTA, SUITE 303, FRESNO, CA 93710(559) 228-5448(559) 224-3920 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alice Jackson Rn Np NPPES

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

ALICE JACKSON RN NP (NPI 1295754109) is an individual nurse practitioner in Fresno, California, licensed in California (358153) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295754109
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICE JACKSONCredential: RN NP
Location Address6121 N THESTA, SUITE 303Fresno, CA 93710-5294
Mailing AddressPo Box 28947Fresno, CA 93729-8947 · (559) 228-5448 · Fax (559) 224-3920
Phone(559) 228-5448
Fax(559) 224-3920
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 14, 2007
✔ NPI 1295754109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 358153
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6121 N THESTA, Fresno, CA 93710
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Other Identifiers 1

Medicare PINZZZ02274ZCA

Other Providers at the Same Location NPPES 3

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

DR. WILLIAM L CARVETH MD
Colon & Rectal Surgery
6121 N THESTA, SUITE 202
FRESNO, CA 93710
Fresno County (559) 440-0283
DR. CHRISTOPHER R PERKINS MD
Internal Medicine (Hematology & Oncology)
6121 N THESTA, STE 204
FRESNO, CA 93710
Fresno County (559) 438-7390
DR. JOHN EDWARD GARRY MD
Colon & Rectal Surgery
6121 N THESTA, SUITE 202
FRESNO, CA 93710
Fresno County (559) 440-0283

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 Alice Jackson's NPI number?

The NPI number for Alice Jackson is 1295754109. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Alice Jackson located?

Alice Jackson practices at 6121 N Thesta Suite 303, Fresno, CA 93710. The listed phone number is (559) 228-5448.

What is Alice Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Alice Jackson was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.