MEDICARE: ELIZABETH ANN JACKSON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	4548	CA

General Provider Information

NPI Number	:	1912076399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN JACKSON NP

Provider Business Mailing Address
First Line	:	1111 COLUMBUS ST
Second Line	:	SUITE 1100
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-1936
Country	:	US
Telephone Number	:	661-326-6546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 COLUMBUS ST
Second Line	:	SUITE 1100
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-1936
Country	:	US
Telephone Number	:	661-326-6546
Fax Number	:	661-862-7604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1366188088 — MRS. MARIETTE MARQUESES CABAHUG NP
Practice Location Address:

1111 COLUMBUS ST
BAKERSFIELD, CA
93305-1936

Practice Phone: 661-326-2800
Practice Fax:

1902813710 — MISS MARGARET JOSEPHINE ATEN PA
Practice Location Address:

1111 COLUMBUS ST
BAKERSFIELD, CA
93305-1936

Practice Phone: 661-326-5052
Practice Fax:

1598778599 — DAN PHILIP MOYES N.P.
Practice Location Address:

1111 COLUMBUS ST , SUITE 1200
BAKERSFIELD, CA
93305-1936

Practice Phone: 661-326-5000
Practice Fax: 661-326-5005

1669555447 — DR. RYAN KENT HUDSON D.O.
Practice Location Address:

1111 COLUMBUS ST , SUITE 1200
BAKERSFIELD, CA
93305-1936

Practice Phone: 661-326-5018
Practice Fax:

1891868220 — ROSA GUERRA MARTINEZ PA-C
Practice Location Address:

1111 COLUMBUS ST , SUITE 1100
BAKERSFIELD, CA
93305-1936

Practice Phone: 661-326-6546
Practice Fax: 661-862-7604

1386785962 — DR. RENU RAKESH SHISHODIA M.D.
Practice Location Address:

1111 COLUMBUS ST
BAKERSFIELD, CA
93305-1936

Practice Phone: 661-868-8200
Practice Fax: 661-868-8255

Directions to “ ELIZABETH ANN JACKSON NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.