Search › Arizona › 2279C0205X
Jermal Jackson, RRT
NPI 1760115992 · on the registry since 2022 · sole proprietor
Practice
- Address
- Corner Of Routes N12 & N7
Fort Defiance, AZ 86504 - Phone
- (928) 729-8000
- Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 2279C0205X
2279C0205X
- Also registered as
- 2279P3900X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-06
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