Frazier, Jacqueline M
Frazier, Jacqueline M is an sole proprietor health care provider with primary practice located at 7656 W Florence Ave , Phoenix AZ 85043-7847. She recently has 3 registered licenses in different health care specialties including Agencies / Foster Care Agency, Respite Care Facility / Respite Care, Mental Illness, Child, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Frazier, Jacqueline M can be contacted via phone (602) 690-9785.Contact Information
Primary practice address
7656 W Florence Ave
Phoenix AZ 85043-7847
Phone: (602) 690-9785
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X | ||
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1922120583 |
|---|---|
| LBN Legal business name | Frazier, Jacqueline M |
| Credentials | Family Physician (FP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Dec 16th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922120583 | NPPES |
| Arizona | MEDICAID | 993354 | |
| Arizona | MEDICAID | 158009 |
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