Evelyn Rosie Jackson
Licensed Psychiatric Technician in Redwood City, CA. Individual provider (NPI-1).
NPI number1609535756
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1609535756
- Entity type
- Individual (NPI-1)
- Name
- Evelyn Rosie Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2021
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 167G00000X | Licensed Psychiatric Technician | 29981 | CA | Yes |
Practice location
240 Edmonds RdRedwood City, CA 94062-3813
Phone 650-209-1100
Mailing address
240 Edmonds Rd Bldg DRedwood City, CA 94062-3813
Phone 650-209-1100
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