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

Individual provider Community/Behavioral Health Agency · NPI 1679227847

Jamie Azure Lillian Jackson is a Community/Behavioral Health Agency in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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Practice location Address checks out

3230 E Roosevelt St Apt 221
Phoenix, AZ 85008-5119
Phone: (602) 638-7974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Companion Taxonomy 372600000X

Record details

NPI number1679227847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2022
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

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