National Provider Identifier Database

MARTHA Y BRANTLEY JACKSON
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MARTHA Y BRANTLEY JACKSON
25400 ALESSANDRO BLVD STE 101
MORENO VALLEY, CA92553-4319
Phone: 951-570-0043
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MARTHA Y BRANTLEY JACKSON

NPI Number 1396302261
Credentials
Entity Individual
Enumeration date 05/24/2019
Last updated 05/24/2019 - About 7 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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