Jackson, Cecilia T.

Jackson, Cecilia T. is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jackson, Cecilia T. can be contacted via phone (520) 795-8188.

Contact Information

Primary practice address
5301 E Grant Rd Tucson AZ 85712-2805
Phone: (520) 795-8188
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP10474 Arizona

Profile Details

NPI number 1598724536
LBN Legal business name Jackson, Cecilia T.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 13th, 2021 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598724536 NPPES
Arizona MEDICAID 308506

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