GRACE E JACKSON

COTTONWOOD, AZ
NPI1659460814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: AZ  46710)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NV  15320)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NC  200200922)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WY  12228A)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  C56001)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: HI  MD-17101)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN  63217)
Enumeration Date2006-10-12
Last Update Date2022-04-07
Business Address
GRACE E JACKSON MD
115 S CANDY LN SUITE C2
COTTONWOOD, AZ 86326-4105
Phone number: 928-649-6736
Mailing Address
GRACE E JACKSON MD
127 LINDA VIS
SEDONA, AZ 86336-5069
Phone number: 928-554-1022