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Search › Arizona › Medical Physician Assistant

Timothy Jackson, PA

NPI 1124338504 · on the registry since 2010 · sole proprietor

Practice

Address
300 S 6th St
Williams, AZ 86046
Phone
(928) 635-4441
Organisation at this address
North Country Healthcare, Inc.
North Country Healthcare Inc. Williams Urgent Care
El Rio Santa Cruz Neighborhood Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Additional practice sites

  • 2722 N Mariah Way, Flagstaff, AZ

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-21
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