MARISSA JACKSON NPI 1861634552

NPI Information

NPI: 1861634552
Provider Name: MARISSA JACKSON
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
101 N CORONADO DR
SUITE A
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 792-1450
Get Directions

Marissa Jackson is a psychiatric/mental health and adult registered nurse in Sierra Vista, AZ. Marissa Jackson NPI is 1861634552. 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:

101 N CORONADO DR
SUITE A
SIERRA VISTA, AZ
ZIP 85635-358
Phone: (520) 792-1450

The enumeration date for this NPI number is 3/27/2009 and was last updated on 3/27/2009.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN100325	ARIZONA	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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