Gracie Ellen Jackson is a South Pasadena, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Gracie Ellen Jackson is NP95015149 for Psych/Mental Health in California. Her current practice location is 625 Fair Oaks Ave Ste 300, South Pasadena. Patients can reach her at 626-441-4221. Gracie Ellen Jackson is PMHNP-BC with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1255956314. Gracie Ellen Jackson provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Gracie Ellen Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Gracie Ellen Jackson
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
PMHNP-BC
Practice Address:
625 Fair Oaks Ave Ste 300, South Pasadena, California, 91030-5805
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1255956314
NPI Enumeration Date:
14 Jun, 2020
NPI Last Update On:
11 Mar, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gracie Ellen Jackson are as mentioned below.
License Number
Specialization
State
Status
NP95015149
Psych/Mental Health
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gracie Ellen Jackson 625 Fair Oaks Ave Ste 300, South Pasadena, California
Zip:
91030-5805
Phone Number:
626-441-4221
Patients can reach Gracie Ellen Jackson at 625 Fair Oaks Ave Ste 300, South Pasadena, California or can call to book an appointment on 626-441-4221.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.