Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE DENISE JACKSON
Active Sole ProprietorSTEPHANIE DENISE JACKSON is a Foster Care Agency healthcare provider located in BUCKEYE, Arizona. NPI 1003459934 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · BUCKEYE, AZ
Registration Details
- NPI Number
- 1003459934
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2019 (6.8339020906414 yrs)
- Last Updated
- Mar 10, 2020
- Licenses
-
9911474 (AZ)3311474 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22321 W MORNING GLORY STBUCKEYE, AZ, 853267181Browse AZ providers · Browse ZIP 85326
- Phone
- 5032097572
- Fax
- 6024554624
- Primary Specialty
-
Foster Care Agency
253J00000X
- Additional Specialty
- 385HR2055X
Other Foster Care Agency Providers in BUCKEYE, AZ
| Name | Credential | NPI |
|---|---|---|
| JAQUELINA ANDREA REYES | — | 1700411576 |
| COWANDA ANN TOWNSEND | — | 1689523706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.