IndividualActive
Derek Jackson
NPI 1699561209 · Podiatric Assistant · Tucson, AZ
Provider details
- NPI number
- 1699561209
- Entity type
- Individual
- Primary specialty
- Podiatric AssistantPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
7966 W Foothill Dr
Peoria, AZ 85383-2158
Registry dates
- Enumerated
- 2025-04-18
- Last updated
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.