Danielle Erin Jackson, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

772506 Issued in CA

Practice address

2131 Herndon Ave Ste 103
Clovis, CA 93611-6304

Phone

(559) 483-9911

Fax

(559) 387-5499

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1699341347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116304",
            "telephone_number": "559-483-9911",
            "fax_number": "559-387-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116304",
            "telephone_number": "559-483-9911",
            "fax_number": "559-387-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIELLE",
        "middle_name": "ERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "772506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SKasten.do@icloud.com",
            "affiliation": "N",
            "address_1": "2131 Herndon Ave Ste 103",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936116304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erika Lezann Ireland, RDN
• Alan Todd Israel, O.D.
• J. a. Mirelez Jr DDS Inc. (Mirelez Revitalize Dental Implant Center)
• Sara Jamal Jaber
• Kimberly Erin Jackson-Massaro, MSW/LCSW
• Mark Henry Jackson, LCSW
• Rebecca Jackson
• Wesley Gordon Jackson, M.D.
• Jacob's Place LLC
• Abby Jean Jacobs, NP

• Primary Care Nurse Practitioner in Clovis, CA
• Providers in Clovis, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.