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

DR. GINECE JASMINE JACKSON, MD

Active Sole Proprietor

Physical Medicine & Rehabilitation · PHOENIX, AZ

Registration Details

NPI Number
1134479686
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2012 (13.648412975257 yrs)
Last Updated
Mar 2, 2021
License
54090 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2000 W BETHANY HOME RD
PHOENIX, AZ, 850152443
Browse AZ providers · Browse ZIP 85015
Phone
8777497428
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in PHOENIX, AZ

Name Credential NPI
KEVIN S. LADIN M.D. 1396748851
GARY J. DILLA M.D. 1114920675
DR. BENJAMIN M SUCHER D.O. 1497756316
PETER KUBITZ D.O. 1750373718
MARY E. MERKEL M.D. 1649265406
CHRISTOPHER W HUSTON MD 1841276722
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.