Individual
DR. ALANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHIROPRACTER
Contact information
Practice address
1708 EL CAZADOR, BULLHEAD CITY, AZ 86442-7955
(928) 753-9225
Mailing address
PO BOX 22698, BULLHEAD CITY, AZ 86439-2698
(928) 753-9225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7139
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
786080
AHCCCS
AZ
01
—
AZ0155410
BLUE CROSSS BLUE SHIELD
AZ
01
—
P00100146
RAILROAD MEDICARE
AZ
Enumeration date
07/26/2006
Last updated
01/08/2009
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