Desirae Jackson

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

6856 W Maryland Ave Unit 5111
Glendale, AZ 85303-0043

Phone

(480) 266-0314

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1174436547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 W MARYLAND AVE UNIT 5111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853030043",
            "telephone_number": "480-266-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 W MARYLAND AVE UNIT 5111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853030043",
            "telephone_number": "480-266-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DESIRAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia G Jacinto, M.D.
• Robin Elise Jackson-Ervin, FNP-BC
• Yolanda Sheree Jackson-Reid, OTR/L
• April Monique Jackson, FNP
• Benita Jackson
• Mary Christine Jackson, P.T.
• Morgan Renee Jackson
• Tamarra Mesha Jackson, BT
• Venella Jackson
• Victoria L Jackson, MPT

• Phlebotomy Technician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Phlebotomy Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.