Jessica Ann Jackson in Durant - Addiction (substance Use Disorder)
Jessica Ann Jackson - NPI 1073760062
Jessica Ann Jackson is a Addiction (substance Use Disorder) in Durant, Oklahoma. Jessica Ann Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jessica Ann Jackson is 1073760062. The last update date is 2010-05-20.
Jessica Ann Jackson's current location address is 1105 Lynnwood St, Durant, Oklahoma. You can contact this provider via phone number 5809246263 and fax number 5809246775. The mailing address for Jessica Ann Jackson is 1105 Lynnwood St, Durant, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Ann Jackson |
|---|---|
| Address | 1105 Lynnwood St, Durant, Oklahoma |
| Phone Number | 5809246263 |
| Fax Number | 5809246775 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073760062 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2010-05-20 |
Provider Mailing Address Detail
| Address | 1105 Lynnwood St |
|---|---|
| City | Durant |
| State | Oklahoma (OK) |
| Post Code | 747012919 |
| Phone Number | 5809246263 |
| Fax Number | 5809246775 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jessica Ann Jackson by the Centers for Medicare & Medicaid Services?
The Jessica Ann Jackson has been assigned the NPI (National Provider Identifier) 1073760062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jessica Ann Jackson is geographically located?
The Jessica Ann Jackson is physically situated at the following location: 1105 Lynnwood St, Durant, OK, 747012919.
What is the Jessica Ann Jackson's specialty and taxonomy code?
The Jessica Ann Jackson's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073760062 to Jessica Ann Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1073760062 to Jessica Ann Jackson on 2008-08-21.
When was the information regarding Jessica Ann Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jessica Ann Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-05-20.
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