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MR. JACKSON ALEXANDER BRUSSSEAUX
NPI 1861344657
Student in an Organized Health Care Education/Training Program in Chandler, AZ

Active since February 12, 2026
13507 E BOSTON ST, CHANDLER, AZ 85225(602) 377-9728 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jackson Alexander Brussseaux NPPES

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

MR. JACKSON ALEXANDER BRUSSSEAUX (NPI 1861344657) is an individual student in an organized health care education/training program in Chandler, Arizona and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1861344657
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACKSON ALEXANDER BRUSSSEAUX
Location Address13507 E BOSTON STChandler, AZ 85225-6079
Mailing Address13507 E Boston StChandler, AZ 85225-6079
Phone(602) 377-9728
Sole ProprietorNo
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1861344657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
13507 E BOSTON ST, Chandler, AZ 85225
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Brussseaux's NPI number?

The NPI number for Jackson Brussseaux is 1861344657. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Where is Jackson Brussseaux located?

Jackson Brussseaux practices at 13507 E Boston St, Chandler, AZ 85225. The listed phone number is (602) 377-9728.

What is Jackson Brussseaux's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Brussseaux was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.