JACQUELYN LEE JACKSON RN NPI 1972271237

NPI Information

NPI: 1972271237
Provider Name: JACQUELYN LEE JACKSON, RN
Classification: Registered Nurse - 163WE0003X
Entity Type: Individual

Specialization: Emergency

Address:
3681 S BUCKAROO TRL
GILBERT, AZ
ZIP 85297
Phone: (480) 242-0087
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Jacquelyn Lee Jackson, RN is an emergency registered nurse in Gilbert, AZ. Jacquelyn Lee Jackson, RN NPI is 1972271237. 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:

3681 S BUCKAROO TRL
GILBERT, AZ
ZIP 85297-968
Phone: (480) 242-0087

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/1/2021.

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	163WE0003X	Registered Nurse	Emergency	RN197059	ARIZONA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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