IndividualActive
Sally Jackson, HRN
NPI 1114619459 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Gilbert, AZ
Provider details
- NPI number
- 1114619459
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- HRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12Z3145002055 (AZ)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianPrimary207PE0005XLicense 12Z3145002055 (AZ)
Allopathic & Osteopathic Physicians
Practice location
3303 E Baseline Rd Ste 108
Gilbert, AZ 85234-2739
Phone: (480) 590-5833
Approximate (ZIP-level) locationGet directions
Mailing address
3303 E Baseline Rd Ste 108
Gilbert, AZ 85234-2739
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.