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MARYKATHERINE ELAINE JACKSON
NPI 1992360291
Student in an Organized Health Care Education/Training Program in Lancaster, CA

Active since May 02, 2019
42455 10TH ST W STE 103, LANCASTER, CA 93534(661) 341-3900 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2020, May 7, 2019, May 2, 2019 (3 updates tracked since 2019).

About Marykatherine Elaine Jackson NPPES

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

MARYKATHERINE ELAINE JACKSON (NPI 1992360291) is an individual student in an organized health care education/training program in Lancaster, California and active in the NPI registry since May 2019. She maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1992360291
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYKATHERINE ELAINE JACKSON
Location Address42455 10TH ST W STE 103Lancaster, CA 93534-7060
Mailing Address42455 10th St W Ste 103Lancaster, CA 93534-7060 · (661) 341-3900
Phone(661) 341-3900
Sole ProprietorNo
Enumeration DateMay 2, 2019
Last NPPES UpdateMarch 5, 20203 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
✔ NPI 1992360291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
42455 10TH ST W STE 103, Lancaster, CA 93534
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Secondary Practice Location 1

Location 143449 Elite LnLancaster, CA 93535-4825 · Phone (805) 358-1964

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.

ZAIDA DIMANCHE-BLACK MA
Marriage & Family Therapist
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (661) 341-3900
ERICA G TILLETT
Social Worker (Clinical)
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (213) 655-6281
DENISE MARTINEZ
Student in an Organized Health Care Education/Training Program
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (661) 483-2220
TYEAST MONIQUE BROWN M.S
Marriage & Family Therapist
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (661) 341-3900
MS. DENISE MARIE JOHNSON
Social Worker (Clinical)
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (661) 341-3900
MRS. LOURDES ELIZABETH BUSTOS ACSW
Social Worker (Clinical)
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (661) 429-1153
EDMUND IKE
Social Worker (Clinical)
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (661) 483-2220
AUTUMN KIANA CHAMBERS
Social Worker (Clinical)
42455 10TH ST W STE 103
LANCASTER, CA 93534
Los Angeles County (562) 228-7180

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 Marykatherine Jackson's NPI number?

The NPI number for Marykatherine Jackson is 1992360291. It was assigned to this individual provider in the NPPES registry on May 2, 2019.

Where is Marykatherine Jackson located?

Marykatherine Jackson practices at 42455 10th St W Ste 103, Lancaster, CA 93534. The listed phone number is (661) 341-3900.

What is Marykatherine Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marykatherine Jackson was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.