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

Derek Jackson

Individual provider Podiatric Assistant · NPI 1699561209

Derek Jackson is a Podiatric Assistant in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

3601 S 6th Ave
Tucson, AZ 85723-0001
Phone: (520) 792-1450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatric Assistant (primary) Taxonomy 211D00000X (AZ)

Record details

NPI number1699561209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address7966 W Foothill Dr, Peoria, AZ 85383-2158

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