Quanika Shuntaaye Simpson-Jackson
Emergency Medical Services
202 E Earll Dr Ste 360
Phoenix
, Arizona 85012-2677
Quanika Shuntaaye Simpson-Jackson
Emergency Medical Services
202 E Earll Dr Ste 360
Phoenix
, Arizona 85012-2677
(602) 698-8261
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Quanika Shuntaaye Simpson-Jackson
- 5060 N 19th Ave Ste 300-28
- Phoenix, AZ
- Zip : 85015-3210
- Phone : (602) 698-8261
Second Address
- Quanika Shuntaaye Simpson-Jackson
- 202 E Earll Dr Ste 360
- Phoenix, AZ
- Zip : 85012-2677
- Phone : (602) 698-8261
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 51627-AO-0 | NV |
National Provider Identifier
| NPI | 1114400637 |
|---|---|
| Provider Name | Quanika Shuntaaye Simpson-Jackson |
| First Address | Phoenix, AZ 85015-3210 |
| Second Address | Phoenix, AZ 85012-2677 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2018 |
| Last Update Date | 28/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8389PCS0 | (05) | NV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.