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Contact Information

SALLY F JACKSON, HRN
3303 E BASELINE RD STE 108
GILBERT, AZ85234-2739
 Phone: 480-590-5833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SALLY F JACKSON · (Female)

NPI Number 1114619459
Status Active
Credentials HRN
Entity Individual
Enumeration date 05/24/2023
Last updated 05/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 12Z3145002055
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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