KELLY A JACKSON

SCOTTSDALE, AZ
NPI1205111317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP4200)
Enumeration Date2011-10-20
Last Update Date2011-10-20
Business Address
-- KELLY A JACKSON NP-C
7400 E OSBORN RD
SCOTTSDALE, AZ 85251-6432
Phone number: 480-882-6958
Mailing Address
-- KELLY A JACKSON NP-C
7400 E OSBORN RD
SCOTTSDALE, AZ 85251-6432
Phone number: 480-882-6958
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