Parker Jackson
Registered Nurse in Phoenix, AZ. Individual provider (NPI-1).
NPI number1104778950
StatusActive
Last updated in NPPESFeb 13, 2026
Details
- NPI
- 1104778950
- Entity type
- Individual (NPI-1)
- Name
- Parker Jackson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2026
- Certification date
- Feb 13, 2026
- Last updated
- Feb 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 335005 | AZ | Yes |
Practice location
1111 E McDowell RdPhoenix, AZ 85006-2612
Phone 602-839-2000
Mailing address
3781 E Horseshoe PlChandler, AZ 85249-2061
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