Jackson Tea is a Anaheim, California based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Jackson Tea is 95033550 for Psych/Mental Health in California. His current practice location is 1720 W Ball Rd Ste 4c, Anaheim. Patients can reach him at 714-683-1472 or can fax him at 714-683-1473. Jackson Tea is MSN, PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1477365997. Jackson Tea 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:
Jackson Tea speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jackson Tea
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Male
Credentials:
MSN, PMHNP-BC
Practice Address:
1720 W Ball Rd Ste 4c, Anaheim, California, 92804-5591
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:
1477365997
NPI Enumeration Date:
22 Jan, 2025
NPI Last Update On:
22 Jan, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackson Tea are as mentioned below.
License Number
Specialization
State
Status
95033550
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:
Jackson Tea 734 Lantana St, La Verne, California
Zip:
91750-5727
Phone Number:
626-429-0088
Patients can reach Jackson Tea at 1720 W Ball Rd Ste 4c, Anaheim, California or can call to book an appointment on 714-683-1472.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.