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NPI Code Detail

MEDICARE: FIONA JACKSON PPSC, ASW

MEDICARE: FIONA JACKSON PPSC, ASW
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
1104100000XSocial WorkerASW136096CA

General Provider Information

NPI Number : 1588519714
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIONA JACKSON PPSC, ASW
Provider Business Mailing Address
First Line : 646 CORBETT AVE APT 505
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-2254
Country : US
Telephone Number : 619-548-3067
Fax Number :
Provider Business Practice Location Address
First Line : 1515 QUINTARA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-1273
Country : US
Telephone Number : 628-900-4497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ FIONA JACKSON PPSC, ASW” Practice Location

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