STEPHANIE DENISE JACKSON NPI 1003459934

NPI Information

NPI: 1003459934
Provider Name: STEPHANIE DENISE JACKSON
Classification: Foster Care Agency - 253J00000X
Entity Type: Individual
Address:
22321 W MORNING GLORY ST
BUCKEYE, AZ
ZIP 85326
Phone: (503) 209-7572
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Stephanie Denise Jackson is a foster care agency in Buckeye, AZ. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. Stephanie Denise Jackson NPI is 1003459934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22321 W MORNING GLORY ST
BUCKEYE, AZ
ZIP 85326-181
Phone: (503) 209-7572
Fax: (602) 455-4624

The enumeration date for this NPI number is 10/23/2019 and was last updated on 3/10/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253J00000X	Foster Care Agency		9911474	ARIZONA	Yes
2	385HR2055X	Respite Care	Respite Care, Mental Illness, Child	3311474	ARIZONA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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