Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON TARAVINE SR
Active OrganizationJACKSON TARAVINE SR is a Medical Physician Assistant organization located in CHANDLER, Arizona. NPI 1467316042 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CHANDLER, AZ
Registration Details
- NPI Number
- 1467316042
- Provider Type
- Organization
- NPI Issued
- Dec 9, 2025 (0.68166721338746 yrs)
- Last Updated
- Mar 3, 2026
Practice Information
- Address
-
1256 W CHANDLER BLVD STE GCHANDLER, AZ, 852245208Browse AZ providers · Browse ZIP 85224
- Phone
- 4807127108
- Fax
- 4803005840
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Organizations in CHANDLER, AZ
| Name | NPI |
|---|---|
| LIFEQUEST PHYSICAL MEDICINE AND REHAB | 1891179552 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.