Tracie Deneice Jackson in Shreveport - Professional
Tracie Deneice Jackson - NPI 1518997196
Tracie Deneice Jackson is a Professional in Shreveport, Louisiana. Tracie Deneice Jackson practices all healthcare services and medical treatments related to Professional. The NPI Number for Tracie Deneice Jackson is 1518997196. The last update date is 2007-07-08.
Tracie Deneice Jackson's current location address is 6005 Financial Plz, Shreveport, Louisiana. You can contact this provider via phone number 3186322040 and fax number 3186322073. The mailing address for Tracie Deneice Jackson is 6005 Financial Plz, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracie Deneice Jackson |
|---|---|
| Address | 6005 Financial Plz, Shreveport, Louisiana |
| Phone Number | 3186322040 |
| Fax Number | 3186322073 |
| Sole Proprietor | N |
| Credentials | MA, PC2 |
NPI Number Detail
| NPI Number | 1518997196 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6005 Financial Plz |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711292615 |
| Phone Number | 3186322040 |
| Fax Number | 3186322073 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3384 |
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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 assigned to Tracie Deneice Jackson by the Centers for Medicare & Medicaid Services?
The Tracie Deneice Jackson has been issued the NPI (National Provider Identifier) 1518997196 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Tracie Deneice Jackson located?
The Tracie Deneice Jackson is located at 6005 Financial Plz, Shreveport, LA 711292615.
What is Tracie Deneice Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracie Deneice Jackson's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
On what date was the 1518997196 assigned to Tracie Deneice Jackson?
The Tracie Deneice Jackson was issued its 1518997196 on 2006-07-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tracie Deneice Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracie Deneice Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.