IndividualActive
Marissa Jackson
NPI 1861634552 · Adult Psychiatric/Mental Health Registered Nurse · Sierra Vista, AZ
Provider details
- NPI number
- 1861634552
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN100325 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
101 N Coronado Dr
Suite a
Sierra Vista, AZ 85635-6358
Phone: (520) 792-1450
Approximate (ZIP-level) locationGet directions
Mailing address
2883 Mountain Ridge Dr
Sierra Vista, AZ 85650-7517
Registry dates
- Enumerated
- 2009-03-27
- Last updated
- 2009-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.