JADA JACKSON FNP-BC
NPI 1760143572
Nurse Practitioner - Family in Scottsdale, AZ

Q: What is Jada Jackson's NPI number?

The NPI number for Jada Jackson is 1760143572. It was assigned to this individual provider in the NPPES registry on January 4, 2022. The provider is also known as Jada Mai.

Q: What is Jada Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jada Jackson was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 04, 2022

9201 E MOUNTAIN VIEW RD STE 220, SCOTTSDALE, AZ 85258(480) 273-4001 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jada Jackson Fnp-bc NPPES

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

JADA JACKSON FNP-BC (NPI 1760143572) is an individual family provider in Scottsdale, Arizona, licensed in Mississippi (905079) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1760143572

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJADA JACKSONCredential: FNP-BC

Location Address9201 E MOUNTAIN VIEW RD STE 220Scottsdale, AZ 85258-5172

Mailing Address9201 E Mountain View Rd Ste 220Scottsdale, AZ 85258-5172 · (480) 273-4001

Phone(480) 273-4001

Sole ProprietorNo

Enumeration DateJanuary 4, 2022

NPPES CertifiedJanuary 4, 2022

✔ NPI 1760143572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 905079

9201 E MOUNTAIN VIEW RD STE 220, Scottsdale, AZ 85258

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Other Names 1

Former Name (1)Jada Mai

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.

KELLY LYNN GEARY CRNP

Nurse Practitioner (Family)