TIJUANA JACKSON DNP-FNPBC
NPI 1407692841
Nurse Practitioner - Family in Discovery Bay, CA

Active since July 05, 2024
PO BOX 1754, DISCOVERY BAY, CA 94505(209) 647-8767 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tijuana Jackson Dnp-fnpbc NPPES

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

TIJUANA JACKSON DNP-FNPBC (NPI 1407692841) is an individual family provider in Discovery Bay, California, licensed in California (95030044) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1407692841
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIJUANA JACKSONCredential: DNP-FNPBC
Location AddressPO BOX 1754Discovery Bay, CA 94505-7754
Mailing AddressPo Box 1754Discovery Bay, CA 94505-7754 · (209) 647-8767
Sole ProprietorYes
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
NPI 1407692841 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 · 95030044
PO BOX 1754, Discovery Bay, CA 94505

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 Tijuana Jackson's NPI number?

The NPI number for Tijuana Jackson is 1407692841. It was assigned to this individual provider in the NPPES registry on July 5, 2024.

Where is Tijuana Jackson located?

Tijuana Jackson practices at PO Box 1754, Discovery Bay, CA 94505. The listed phone number is (209) 647-8767.

What is Tijuana 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 Tijuana Jackson was last updated on July 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.