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NPI 1003351255

IndividualActive

Andrece Jackson, RN

NPI 1003351255 · Registered Nurse · Tuba City, AZ

Provider details

NPI number: 1003351255
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Female
Sole proprietor: No
License: 240457-8 (MN)

Practice location

167 North Main Street

Tuba City, AZ 86045-0600

Phone: (928) 283-2094

Fax: (928) 283-2677

More AZ providers

Mailing address

Po Box 600

Tuba City, AZ 86045-0600

Registry dates

Enumerated: 2016-12-27
Last updated: 2016-12-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrece Jackson, RN — NPI 1003351255, Tuba City, AZ | NPI Central