Individual provider · Type 1 NPI

Parker Jackson

Registered Nurse · Phoenix, AZ

NPI number 1104778950 Active

Practice location

1111 E Mcdowell Rd
Phoenix, AZ 85006-2612

Mailing address

3781 E Horseshoe Pl
Chandler, AZ 85249-2061

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X335005 (AZ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104778950

Parker Jackson's National Provider Identifier is 1104778950, issued on Feb 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 13, 2026.