Individual
ANDREA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4990 E MEDITERRANEAN DR STE A, SIERRA VISTA, AZ 85635-2495
(520) 439-5186
Mailing address
3494 HERBA DE MARIA, SIERRA VISTA, AZ 85650-9588
(417) 389-9987
(417) 389-9987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
309107
AZ
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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