Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace E. Jackson, MD, PLLC

Organization Psychiatry Physician · NPI 1568863322

Grace E. Jackson, MD, PLLC is a Psychiatry Physician in Cottonwood, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

115 S Candy Ln Ste C2
Cottonwood, AZ 86326-4188
Phone: (928) 649-6736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 46710 (AZ)

Record details

NPI number1568863322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Jackson — Ceo · (928) 649-6736
NPI enumeratedSeptember 11, 2014
Last updated in NPPESOctober 14, 2014
Mailing address115 S Candy Ln Ste C2, Cottonwood, AZ 86326-4188

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