Individual
JANELL ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5148 S CORONADO SCHOOL DR, SIERRA VISTA, AZ 85650-9075
(520) 378-0616
Mailing address
5148 CORONADO SCHOOL DRIVE, SIERRA VISTA, AZ 85650
(520) 378-0616
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN079312
AZ
Other
Enumeration date
04/17/2007
Last updated
09/05/2007
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