Bonita Marie Jackson-Vergara in Chesapeake - Professional

Bonita Marie Jackson-Vergara - NPI 1316967334

Bonita Marie Jackson-Vergara is a Professional in Chesapeake, Virginia. Bonita Marie Jackson-Vergara practices all healthcare services and medical treatments related to Professional. The NPI Number for Bonita Marie Jackson-Vergara is 1316967334. The last update date is 2021-10-13.

Bonita Marie Jackson-Vergara's current location address is 800 Fox Ridge Trl, Chesapeake, Virginia. You can contact this provider via phone number 7048049614 and fax number 7573129580. The mailing address for Bonita Marie Jackson-Vergara is 800 Fox Ridge Trl, Chesapeake, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonita Marie Jackson-Vergara
Address 800 Fox Ridge Trl, Chesapeake, Virginia
Phone Number 7048049614
Fax Number 7573129580
Sole Proprietor Y
Credentials LICENSED C

NPI Number Detail

NPI Number 1316967334
Provider Enumeration Date 2006-07-20
Last Updated Date 2021-10-13

Provider Mailing Address Detail

Address 800 Fox Ridge Trl
City Chesapeake
State Virginia (VA)
Post Code 233226506
Phone Number 7048049614
Fax Number 7573129580

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 701005902
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6103317 NC --

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FAQs about Bonita Marie Jackson-Vergara

What is the unique identifier code issued to Bonita Marie Jackson-Vergara by the Centers for Medicare & Medicaid Services?

The Bonita Marie Jackson-Vergara has been assigned the NPI (National Provider Identifier) 1316967334. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Bonita Marie Jackson-Vergara is geographically located?

The Bonita Marie Jackson-Vergara is physically situated at the following location: 800 Fox Ridge Trl, Chesapeake, VA, 233226506.

What is the area of specialization for Bonita Marie Jackson-Vergara, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bonita Marie Jackson-Vergara is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1316967334 to Bonita Marie Jackson-Vergara?

The Centers for Medicare & Medicaid Services originally issued the 1316967334 to Bonita Marie Jackson-Vergara on 2006-07-20.

As of what date were the details related to Bonita Marie Jackson-Vergara most recently updated or revised?

The information pertaining to Bonita Marie Jackson-Vergara, including its address, specialty, and other relevant details, was last updated or revised on 2021-10-13.

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