Patricia Jackson
NPI 1023377967 · on the registry since 2012
Practice
- Address
- 191 Highway And Hospital Road
Chinle, AZ 86503 - Phone
- (928) 674-7166
- Fax
- (928) 674-7705
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-08
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona