Dalonna Trenae Jackson, is a
Student In An Organized Health Care Education/training Program based in Rio Vista, California. Dalonna Trenae Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
628 Montezuma St, Rio Vista, California. She can be reached at her office (for appointments etc.) via phone at
(707) 374-5243.
NPI number for Dalonna Trenae Jackson is 1215508528 and her current mailing address is 2085 East Bayshore Road Po Box 51083, East Palo Alto, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215508528.
Healthcare Provider's Profile
| Full Name | Dalonna Trenae Jackson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 628 Montezuma St, Rio Vista, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215508528
- Provider Enumeration Date: 07/07/2021
- Last Update Date: 07/10/2022
Medical Identifiers
Medical identifiers for Dalonna Trenae Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215508528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dalonna Trenae Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dalonna Trenae Jackson,
2085 East Bayshore Road Po Box 51083,
East Palo Alto, CA 94303-5700
Ph: (650) 276-9953 | Dalonna Trenae Jackson,
628 Montezuma St,
Rio Vista, CA 94571-1622
Ph: (707) 374-5243 |
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