REGULA R. JACKSON

PHOENIX, AZ
NPI1891880100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AZ  RN057918)
Additional Taxonomies363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: AZ  RN057918)
Enumeration Date2006-10-03
Last Update Date2011-08-23
Business Address
-- REGULA R. JACKSON CNM, OB-GYN NP
4212 NORTH 16TH STREET
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- REGULA R. JACKSON CNM, OB-GYN NP
P.O.BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511