Provider Demographics
NPI:1306738190
Name:MCGLOTHIN, JADA NICOLE (DOCTOR OF EDUCATION)
Entity type:Individual
Prefix:DR
First Name:JADA
Middle Name:NICOLE
Last Name:MCGLOTHIN
Suffix:
Gender:F
Credentials:DOCTOR OF EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 E SYCAMORE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-2800
Mailing Address - Country:US
Mailing Address - Phone:602-535-9196
Mailing Address - Fax:
Practice Address - Street 1:266 E SYCAMORE VIEW RD
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:AZ
Practice Address - Zip Code:85641-2800
Practice Address - Country:US
Practice Address - Phone:602-535-9196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide