# NORTHWEST WOMEN'S HEALTH, LLC

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

## Provider details

- **NPI number:** 1619699667
- **Authorized official:** JENNY JACKSON (SR DIRECTOR OF PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-3334

## Contact information

- **Practice address:** 6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529
- **Practice address phone:** (520) 742-9000
- **Mailing address:** 6200 N LA CHOLLA BLVD, TUCSON, AZ 85741-3529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2022
- **Last updated:** 09/15/2022