Maida Elena Jackson, FNP - Nurse Practitioner in Los Angeles, CA

Maida Elena Jackson, FNP is a Nurse Practitioner - Family based in Los Angeles, California. Maida Elena Jackson is licensed to practice in California (license number 95015651) and her current practice location is 3612 1/2 E 1st St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (323) 264-7796.

NPI number for Maida Elena Jackson is 1043945157 and her current mailing address is 6137 E Dayton Ave, Fresno, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043945157.

Contact Information

Maida Elena Jackson, FNP
3612 1/2 E 1st St,
Los Angeles, CA 90063-2326
(323) 264-7796
(323) 264-7778

Map and Direction




Provider's Profile

Full NameMaida Elena Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location3612 1/2 E 1st St, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043945157
  • Provider Enumeration Date: 07/21/2022
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Maida Elena Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043945157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95015651 (California)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. Maida Elena 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 AddressPractice Location Address
Maida Elena Jackson, FNP
6137 E Dayton Ave,
Fresno, CA 93727-8937

Ph: (559) 473-7943
Maida Elena Jackson, FNP
3612 1/2 E 1st St,
Los Angeles, CA 90063-2326

Ph: (323) 264-7796

Reviews and Comments


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