Jackson, Marissa

Jackson, Marissa is an individual health care provider with primary practice located at 101 N Coronado Dr Suite A, Sierra Vista AZ 85635-6358. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Jackson, Marissa can be contacted via phone (520) 792-1450.

Contact Information

Primary practice address
101 N Coronado Dr Suite A Sierra Vista AZ 85635-6358
Phone: (520) 792-1450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN100325 Arizona

Profile Details

NPI number 1861634552
LBN Legal business name Jackson, Marissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2009
Last updated Mar 27th, 2009 - about 15 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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