John Edward Jackson in Tamarac - Mental Health

John Edward Jackson - NPI 1285853481

John Edward Jackson is a Mental Health in Tamarac, Florida. John Edward Jackson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for John Edward Jackson is 1285853481. The last update date is 2007-07-08.

John Edward Jackson's current location address is 6022 Nw 91st Way, Tamarac, Florida. You can contact this provider via phone number 9547205523. The mailing address for John Edward Jackson is 6022 Nw 91st Way, Tamarac, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Jackson
Address 6022 Nw 91st Way, Tamarac, Florida
Phone Number 9547205523
Fax Number
Sole Proprietor Y
Credentials BS MS,LMHC

NPI Number Detail

NPI Number 1285853481
Provider Enumeration Date 2007-04-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6022 Nw 91st Way
City Tamarac
State Florida (FL)
Post Code 333214100
Phone Number 9547205523
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No MH8379
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about John Edward Jackson

What is the unique 10-digit identification code assigned to John Edward Jackson by the Centers for Medicare & Medicaid Services?

The John Edward Jackson has been issued the NPI (National Provider Identifier) 1285853481, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John Edward Jackson is located?

The John Edward Jackson is situated at the following address: 6022 Nw 91St Way, Tamarac, FL, 333214100.

What is the John Edward Jackson's specialty and taxonomy code?

The John Edward Jackson's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285853481 to John Edward Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1285853481 to John Edward Jackson on 2007-04-25.

When was the information regarding John Edward Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Edward Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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