NPI 1033628896
Erika Jackson, MA
Practice location
- Address
- 2706 E Main St, Mesa, AZ 85213-9227
- Phone
- (480) 644-9037
- Mailing address
- 14260 W Windrose Dr, Surprise, AZ 85379-5546
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1033628896
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Sep 2017
- Record last updated
- 25 Sep 2017
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.