ANDRECE JACKSON RN
NPI 1003351255
Registered Nurse in Tuba City, AZ

Q: What is Andrece Jackson's NPI number?

The NPI number for Andrece Jackson is 1003351255. It was assigned to this individual provider in the NPPES registry on December 27, 2016.

Q: What is Andrece Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrece Jackson was last updated on December 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2016

167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2094(928) 283-2677 Get Directions Write a Review

NPPES record last updated: December 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrece Jackson Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRECE JACKSON RN (NPI 1003351255) is an individual registered nurse in Tuba City, Arizona, licensed in Minnesota (240457-8) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1003351255

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameANDRECE JACKSONCredential: RN

Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600

Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2094 · Fax (928) 283-2677

Phone(928) 283-2094

Fax(928) 283-2677

Sole ProprietorNo

Enumeration DateDecember 27, 2016

✔ NPI 1003351255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in MN · 240457-8

Definition

(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 in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

167 NORTH MAIN STREET, Tuba City, AZ 86045

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIMMIE L TAYLOR RN

Registered Nurse (Ambulatory Care)