Bonita Jackson-Amos in Jonesboro - Professional
Bonita Jackson-Amos - NPI 1124156179
Bonita Jackson-Amos is a Professional in Jonesboro, Arkansas. Bonita Jackson-Amos practices all healthcare services and medical treatments related to Professional. The NPI Number for Bonita Jackson-Amos is 1124156179. The last update date is 2007-07-08.
Bonita Jackson-Amos's current location address is 2707 Browns Ln, Jonesboro, Arkansas. You can contact this provider via phone number 8709724939 and fax number 8709724911. The mailing address for Bonita Jackson-Amos is 2707 Browns Ln, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bonita Jackson-Amos |
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Address | 2707 Browns Ln, Jonesboro, Arkansas |
Phone Number | 8709724939 |
Fax Number | 8709724911 |
Sole Proprietor | Y |
Credentials | LPC |
NPI Number Detail
NPI Number | 1124156179 |
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Provider Enumeration Date | 2007-03-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2707 Browns Ln |
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City | Jonesboro |
State | Arkansas (AR) |
Post Code | 724017213 |
Phone Number | 8709724939 |
Fax Number | 8709724911 |
Provider's Primary Taxonomy Detail
Speciality | Professional |
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Taxonomy | 101Yp2500X |
Licence No | P9312036 |
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identifier code issued to Bonita Jackson-Amos by the Centers for Medicare & Medicaid Services (CMS)?
The Bonita Jackson-Amos has been assigned the NPI (National Provider Identifier) 1124156179. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Bonita Jackson-Amos?
The Bonita Jackson-Amos is situated at 2707 Browns Ln, in the city of Jonesboro, state of AR, with the zip code 724017213.
What is Bonita Jackson-Amos's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bonita Jackson-Amos is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
On what date did the Bonita Jackson-Amos receive the assignment of its 1124156179 from the Centers for Medicare & Medicaid Services?
The Bonita Jackson-Amos was issued its 1124156179 by the Centers for Medicare & Medicaid Services on 2007-03-01.
As of what date were the details related to Bonita Jackson-Amos most recently updated or revised?
The information pertaining to Bonita Jackson-Amos, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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