Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629194972 Individual Practitioner Female Practitioner

Jenifer Lynn Jackson

Specialist • Alta, CA

Professional Overview & Biography Verified Profile Summary

Jenifer Jackson is a registered healthcare professional specializing in Specialist in Alta, CA. Practice services are available at 34248 E. TOWLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

34248 E. Towle Rd

Alta, CA 95701

Telephone 5303899208
Fax 5303899209
Associated Practice Facility / Clinic
🏢 Progress House Facility NPI 1346493830

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Alta, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Alta, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 4946

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1083733489
Melissa Haskins , CADC II

Counselor - Addiction (Substance Use Disorder)

NPI 1124240833

CADCII

Katie Imsdahl

Specialist

NPI 1164541090
Rickie Abel

Specialist

NPI 1194906917
NPI 1225162530
NPI 1285888230

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2007

Registered at 34248 E. TOWLE RD, ALTA, CA 95701 (Tel: 5303899208)

📍
Updated Business Mailing Address November 09, 2007

Registered at 2215 COLONIAL VLG APT 3, AUBURN, CA 956039540 (Tel: 5303683357)

👤
Provider Name / Credentials Updated November 09, 2007

Recorded as JENIFER JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2007

Specialist (License #4946 in CA)

🟢
Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629194972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: November 09, 2007
Sole Proprietor: No

Mailing Address

2215 Colonial Vlg Apt 3

Auburn, CA 956039540

Phone: 5303683357

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.