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

Stephanie L Jackson, MD

Individual provider Internal Medicine Physician · NPI 1861462509

Stephanie L Jackson, MD is an Internal Medicine in Scottsdale, Arizona. Graduated from Washington University School of Medicine in 1993, 33 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona and Oregon.

Years since qualifying
33
Trained at
Washington University School of Medicine
Licensed in
AZ, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10900 N Scottsdale Rd Ste 603
Scottsdale, AZ 85254-5216
Phone: (480) 882-7470
Fax: (480) 922-2472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 51415 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD23663 (OR)

Record details

NPI number1861462509
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 25, 2006
Last updated in NPPESJuly 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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