Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON LUIS GUTIERREZ
ActiveJACKSON LUIS GUTIERREZ is a Nurse's Aide healthcare provider located in QUEEN CREEK, Arizona. NPI 1841977089 is currently active in the NPPES registry. Verify at CMS.
Nurse's Aide · QUEEN CREEK, AZ
Registration Details
- NPI Number
- 1841977089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2023 (3.1479430679007 yrs)
- Last Updated
- Jun 29, 2023
- License
-
279143 (AZ)
Practice Information
- Address
-
18470 E LARK DRQUEEN CREEK, AZ, 851425170Browse AZ providers · Browse ZIP 85142
- Phone
- 6152821052
- Primary Specialty
-
Nurse's Aide
376K00000X
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.