| Jackson Tea, MSN, PMHNP-BC | |
|
1720 W Ball Rd Ste 4c, Anaheim, CA 92804-5591 | |
| (714) 683-1472 | |
| (714) 683-1473 |
| Full Name | Jackson Tea |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1720 W Ball Rd Ste 4c, Anaheim, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477365997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95033550 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Tea, MSN, PMHNP-BC 734 Lantana St, La Verne, CA 91750-5727 Ph: (626) 429-0088 | Jackson Tea, MSN, PMHNP-BC 1720 W Ball Rd Ste 4c, Anaheim, CA 92804-5591 Ph: (714) 683-1472 |
Grace Wiryawan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3030 W Ball Rd, Anaheim, CA 92804 Phone: 626-872-9844 | |
Ybelynn Carandang Alaan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 E Katella Ave, Anaheim, CA 92805 Phone: 714-633-6373 | |
Cristian Cuevas, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354 | |
Mr. William George Woods, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801 Phone: 714-772-8282 Fax: 714-772-6493 | |
Chinenye Umunnakwe, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 N Euclid St Ste 208, Anaheim, CA 92801 Phone: 310-738-7497 | |
Mariam Alhakim, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 W La Palma Ave, Anaheim, CA 92801 Phone: 714-991-3180 | |
Jovani Rioja, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-423-4168 |