Individual
APRIL MONIQUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
18275 N 59TH AVE STE 138, GLENDALE, AZ 85308-1253
(602) 564-1154
(602) 564-1154
Mailing address
3552 W BASELINE RD STE 240, LAVEEN, AZ 85339-3042
(602) 635-6941
(602) 635-6952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
310080
AZ
Other
Enumeration date
08/06/2024
Last updated
09/24/2024
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