| Doctor Name: | MRS. JESSICA HARRIS RACKLEY |
| NPI Number: | 1023331030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 7219 N Litchfield Rd Luke Afb, AZ - 853091529 |
| Business Phone Number: | 6238569752 |
| Business Fax Number: | |
| Mailing Address: | 914 E Palm Ln, PHOENIX |
| State: | AZ |
| Postal Code: | 850062115 |
| Phone Number: | 4803958240 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2010 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |