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Individual

HAYLEY JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518
(480) 561-5000
Mailing address
14445 W MCDOWELL RD STE A104, GOODYEAR, AZ 85395-2518

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
21-188148
IL
363A00000X
Physician Assistant
Primary
11221
AZ

Other

Enumeration date
10/12/2021
Last updated
10/23/2025
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