IndividualActive
Jacquelyn Island, M.D.
NPI 1194849489 · Occupational Medicine Physician · Phoenix, AZ
Provider details
- NPI number
- 1194849489
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 28020 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12808 N Black Canyon Hwy
Phoenix, AZ 85029-1346
Phone: (615) 778-4066
Approximate (ZIP-level) locationGet directions
Mailing address
5080 Spectrum Dr
Addison, TX 75001-4648
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2009-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.