Individual
JACQUELYN LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3681 S BUCKAROO TRL, GILBERT, AZ 85297-7968
(480) 242-0087
Mailing address
3681 S BUCKAROO TRL, GILBERT, AZ 85297-7968
(480) 242-0087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
320980
AZ
Other
Enumeration date
09/01/2021
Last updated
04/08/2025
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