Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BYRON JACKSON
Active Sole ProprietorBYRON JACKSON is a Community/Behavioral Health healthcare provider located in PHOENIX, Arizona. NPI 1225667264 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · PHOENIX, AZ
Registration Details
- NPI Number
- 1225667264
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2020 (6.4073754700212 yrs)
- Last Updated
- Apr 2, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
3101 N CENTRAL AVE # 220BPHOENIX, AZ, 850122645Browse AZ providers · Browse ZIP 85012
- Phone
- 6029202791
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN C FLYNN | LCSW | 1396891271 |
| MR. RAMIRO VALENCIA JR. | — | 1669598165 |
| MR. ANDREW TERECH | — | 1790034130 |
| ISMAIL MOHAMED ISMAIL | — | 1972852382 |
| PRESTON ANDREW SLADE | — | 1548756059 |
| ELENA SCARA | — | 1134770878 |
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.