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NPI 1003459934

IndividualActive

Stephanie Jackson

NPI 1003459934 · Foster Care Agency · Buckeye, AZ

Provider details

NPI number: 1003459934
Entity type: Individual
Primary specialty: Foster Care AgencyAgencies
Sex: Female
Sole proprietor: Yes
License: 9911474 (AZ)

Practice location

22321 W Morning Glory St

Buckeye, AZ 85326-7181

Phone: (503) 209-7572

Fax: (602) 455-4624

More AZ providers

Mailing address

22321 W Morning Glory St

Buckeye, AZ 85326-7181

Registry dates

Enumerated: 2019-10-23
Last updated: 2020-03-10

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

Stephanie Jackson — NPI 1003459934, Buckeye, AZ | NPI Central