Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Desirae Jackson

Individual provider Phlebotomy Technician · NPI 1174436547

Desirae Jackson is a Phlebotomy Technician in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

6856 W Maryland Ave Unit 5111
Glendale, AZ 85303-0043
Phone: (480) 266-0314
Show map & directions

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

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X (AZ)

Record details

NPI number1174436547
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

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