Rodney Mark Jackson, MD,FAAP

Specialist · Anthem, AZ

Individual Active NPI

NPI number 1619975398

Practice location

3654 W Anthem Way
Suite B-114
Anthem, AZ 85086-0455
Phone
(623) 551-0442
Fax
(623) 551-7389

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NPI record

NPI
1619975398
Entity type
Individual (Type 1)
Enumeration date
July 7, 2005
Last updated
July 9, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 28940 AZ

About Dr. Jackson

Rodney Mark Jackson, MD,FAAP is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 3654 W Anthem Way, Suite B-114, Anthem, AZ 85086-0455. The NPI number 1619975398 was assigned on July 7, 2005 and the record was last updated on July 9, 2007.

Dr. Jackson lists a license in the registry: #28940 (AZ) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Rodney Mark Jackson, MD,FAAP?

The NPI number is 1619975398.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (623) 551-0442.

Where is Dr. Jackson located?

3654 W Anthem Way, Suite B-114, Anthem, AZ 85086-0455.

What is the taxonomy code for Dr. Jackson?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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