Jackson, Eileen

Jackson, Eileen is an sole proprietor health care provider with primary practice located at 11957 E Summer Trl , Tucson AZ 85749-9313. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jackson, Eileen can be contacted via phone (520) 444-8940.

Contact Information

Primary practice address
11957 E Summer Trl Tucson AZ 85749-9313
Phone: (520) 444-8940
Fax: (520) 760-6690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN-075070 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN-075070 Arizona

Profile Details

NPI number 1295811511
LBN Legal business name Jackson, Eileen
Credentials ACNP-BC, CRNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2006
Last updated Dec 31st, 2018 - about 6 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 1295811511 NPPES
Arizona Other 918849 AHCCCS

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