Search › Arizona › 163WP0809X
Marissa Jackson
NPI 1861634552 · on the registry since 2009
Practice
- Address
- 101 N Coronado Dr
Suite A
Sierra Vista, AZ 85635 - Phone
- (520) 792-1450
- Organisation at this address
- Tucson Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 163WP0809X
163WP0809X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-03-27
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