Jackson Taravine Sr
Jackson Taravine Sr is a Medical Physician Assistant in Chandler, Arizona. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
1256 W Chandler Blvd Ste GChandler, AZ 85224-5208
Phone: (480) 712-7108
Fax: (480) 300-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|
Record details
| NPI number | 1467316042 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackson Taravine — Owner · (786) 865-3586 |
| NPI enumerated | December 9, 2025 |
| Last updated in NPPES | March 3, 2026 |
| Certification date | March 3, 2026 |
| Mailing address | 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 |
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