# JACKSON HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417347055
- **Authorized official:** DR. THOMAS MORGAN DC (OWNER)
- **Authorized official phone:** (623) 935-9920

## Contact information

- **Practice address:** 12409 W INDIAN SCHOOL RD, SUITE \#B210, AVONDAALE, AZ 85392
- **Practice address phone:** (623) 935-9920
- **Mailing address:** PO BOX 11180, TEMPE, AZ 85392
- **Mailing address phone:** (480) 264-3744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | NULL | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 02/04/2015
- **Last updated:** 02/04/2015