NPI 1003351255
Andrece Jackson, RN
Practice location
- Address
- 167 North Main Street, Tuba City, AZ 86045-0600
- Phone
- (928) 283-2094
- Fax
- (928) 283-2677
- Mailing address
- PO Box 600, Tuba City, AZ 86045-0600
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1003351255
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Dec 2016
- Record last updated
- 27 Dec 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.