RANDY JACKSON NPI 1750807442

NPI Information

Randy Jackson is a home health aide in Mesa, AZ. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Randy Jackson NPI is 1750807442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9837 E NATAL AVE
MESA, AZ
ZIP 85209-588
Phone: (480) 750-7185

The enumeration date for this NPI number is 8/15/2017 and was last updated on 8/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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