Jackson, Jessie R

Jackson, Jessie R is an sole proprietor health care provider with primary practice located at 9855 E Irvington Rd Unit #82, Tucson AZ 85730-5220. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Jackson, Jessie R can be contacted via phone (520) 733-1165.

Contact Information

Primary practice address
9855 E Irvington Rd Unit #82 Tucson AZ 85730-5220
Phone: (520) 733-1165
Fax: (520) 733-1165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 3923 Arizona

Profile Details

NPI number 1104908417
LBN Legal business name Jackson, Jessie R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 9th, 2007 - about 19 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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