MR. Timothy Lawrence Jackson, PA is a medical physician assistant in Williams, AZ. MR. Timothy Lawrence Jackson, PA NPI is 1124338504. 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:
300 S 6TH ST
WILLIAMS, AZ
ZIP 86046-110
Phone: (928) 635-4441
The NPI 1124338504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/19/2010 and was last updated on 7/21/2021.