Antoinette S Jackson-Sekunda, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020465 Issued in CA

Practice address

28062 Baxter Rd
Murrieta, CA 92563-1401

Phone

(858) 967-3070

NPI assigned

Mar 25, 2022

Last updated

Mar 30, 2022By the provider in NPPES

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

Other names 1

• Antoinette S Jackson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1770233363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37814 KINGBIRD PL",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637917",
            "telephone_number": "860-818-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28062 BAXTER RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631401",
            "telephone_number": "858-967-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-SEKUNDA",
        "first_name": "ANTOINETTE",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "JACKSON",
            "middle_name": "S",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jackson and Lee Dental Corporation (Plaza Dental Group)
• Amari Jackson
• Lester Jackson
• Olga R Jackson, FNP-BC, PMHNP-BC
• Renae Jackson
• Seana Alyssa Jackson

• Family Nurse Practitioner in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.