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

Jackson Healthcare LLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1417347055

Jackson Healthcare LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Avondaale, Arizona. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12409 W Indian School Rd Ste #B210
Avondaale, AZ 85392
Phone: (623) 935-9920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Family Nurse Practitioner Taxonomy 363LF0000X
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X

Record details

NPI number1417347055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Morgan — Owner · (623) 935-9920
NPI enumeratedFebruary 4, 2015
Last updated in NPPESFebruary 4, 2015
Mailing addressPo Box 11180, Tempe, AZ 85392