Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS BENITA JACKSON
Active Sole ProprietorMISS BENITA JACKSON is a Case Management Agency healthcare provider located in GLENDALE, Arizona. NPI 1912300716 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · GLENDALE, AZ
Registration Details
- NPI Number
- 1912300716
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2014 (11.872241922742 yrs)
- Last Updated
- Oct 7, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
6102 W TOWNLEY AVEGLENDALE, AZ, 853024518Browse AZ providers · Browse ZIP 85302
- Phone
- 6239159363
- Primary Specialty
-
Case Management Agency
251B00000X
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.