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

Joshua Jackson

Individual provider Family Nurse Practitioner · NPI 1093326290

Joshua Jackson is a Family Nurse Practitioner in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020

Practice location Address checks out

5432 E Southern Ave Ste 101B
Mesa, AZ 85206-2772
Phone: (480) 999-7911
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 246232 (AZ)

Record details

NPI number1093326290
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 11, 2020
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

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