Charles Jerome Jackson in Jonesboro - Professional
Charles Jerome Jackson - NPI 1700907920
Charles Jerome Jackson is a Professional in Jonesboro, Arkansas. Charles Jerome Jackson practices all healthcare services and medical treatments related to Professional. The NPI Number for Charles Jerome Jackson is 1700907920. The last update date is 2018-03-17.
Charles Jerome Jackson'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 Charles Jerome Jackson is 2707 Browns Ln, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Jerome Jackson |
|---|---|
| Address | 2707 Browns Ln, Jonesboro, Arkansas |
| Phone Number | 8709724939 |
| Fax Number | 8709724911 |
| Sole Proprietor | Y |
| Credentials | LPC, LMFT |
NPI Number Detail
| NPI Number | 1700907920 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 2707 Browns Ln |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724017213 |
| Phone Number | 8709724939 |
| Fax Number | 8709724911 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | P0803027 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identifier code issued to Charles Jerome Jackson by the Centers for Medicare & Medicaid Services?
The Charles Jerome Jackson has been assigned the NPI (National Provider Identifier) 1700907920 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Charles Jerome Jackson is geographically located?
The Charles Jerome Jackson is physically situated at the following location: 2707 Browns Ln, Jonesboro, AR, 724017213.
What is the Charles Jerome Jackson's specialty and taxonomy code?
The Charles Jerome Jackson's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
When did the Charles Jerome Jackson receive its 1700907920?
The Charles Jerome Jackson was issued its 1700907920 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Charles Jerome Jackson most recently updated or revised?
The details related to Charles Jerome Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-17.