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Contact Information

JAMIE A JACKSON
3230 E ROOSEVELT ST APT 221
PHOENIX, AZ85008-5119
 Phone: 602-638-7974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Adult Companion

372600000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1679227847
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/07/2022
Last updated 02/07/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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