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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSIE R JACKSON

Active Sole Proprietor

JESSIE R JACKSON is a 385HR2055X healthcare provider located in TUCSON, Arizona. NPI 1104908417 is currently active in the NPPES registry. Verify at CMS.

385HR2055X · TUCSON, AZ

Registration Details

NPI Number
1104908417
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2006 (19.635743600872 yrs)
Last Updated
Jul 9, 2007
License
3923 (AZ)
Sole Proprietor
Yes

Practice Information

Address
9855 E IRVINGTON RD
UNIT #82
TUCSON, AZ, 857305220
Browse AZ providers · Browse ZIP 85730
Phone
5207331165
Fax
5207331165
Primary Specialty
385HR2055X
385HR2055X

Other 385HR2055X Providers in TUCSON, AZ

Name Credential NPI
ROXANNE A. DUTTON 1649369760
MS. MERRI L. PATTERSON 1053401562
GLORIA GARCIA 1952491839
AMALIA ANN LEIBFRIED 1922198894
MS. STACEY MARGO BIAGI 1871673657
BARBARA ANNE THOMAS 1710060769
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.