Organization
JACKSON EMPRISE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN JACKSON D.C. (CLINIC OWNER)
(602) 612-2009
Entity
Organization
Contact information
Practice address
15620 N TATUM BLVD STE 130, PHOENIX, AZ 85032-4450
(602) 612-2009
(602) 916-0834
Mailing address
15620 N TATUM BLVD STE 130, PHOENIX, AZ 85032-4450
(602) 612-2009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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