Jackson, Nannie

Jackson, Nannie is an individual health care provider with primary practice located at 9201 N 5Th St , Phoenix AZ 85020-2532. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Jackson, Nannie can be contacted via phone (602) 331-5792.

Contact Information

Primary practice address
9201 N 5Th St Phoenix AZ 85020-2532
Phone: (602) 331-5792
Fax: (602) 331-7855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC 11861 Arizona

Profile Details

NPI number 1467823435
LBN Legal business name Jackson, Nannie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2015
Last updated Oct 15th, 2015 - about 11 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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