FATIMA JACKSON NPI 1528579653

NPI Information

NPI: 1528579653
Provider Name: FATIMA JACKSON
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
417 E TIERRA BUENA LN
PHOENIX, AZ
ZIP 85022
Phone: (602) 502-4397
Get Directions

Fatima Jackson is a speech-language assistant specialist technologist in Phoenix, AZ. Fatima Jackson NPI is 1528579653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

417 E TIERRA BUENA LN
PHOENIX, AZ
ZIP 85022-034
Phone: (602) 502-4397

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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