Tammy Lynn Jackson in College Station - Adult Development & Aging
Tammy Lynn Jackson - NPI 1619958758
Tammy Lynn Jackson is a Adult Development & Aging in College Station, Texas. Tammy Lynn Jackson practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Tammy Lynn Jackson is 1619958758. The last update date is 2023-08-25.
Tammy Lynn Jackson's current location address is 1014 Sun Meadow Ct, College Station, Texas. You can contact this provider via phone number 9792171311 and fax number 8556040969. The mailing address for Tammy Lynn Jackson is 1014 Sun Meadow Ct, College Station, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy Lynn Jackson |
|---|---|
| Address | 1014 Sun Meadow Ct, College Station, Texas |
| Phone Number | 9792171311 |
| Fax Number | 8556040969 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1619958758 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2023-08-25 |
Provider Mailing Address Detail
| Address | 1014 Sun Meadow Ct |
|---|---|
| City | College Station |
| State | Texas (TX) |
| Post Code | 778457291 |
| Phone Number | 9792171311 |
| Fax Number | 8556040969 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Development & Aging |
|---|---|
| Taxonomy | 103Ta0700X |
| Licence No | 31418 |
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Definition: A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158249604 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tammy Lynn Jackson by the Centers for Medicare & Medicaid Services?
The Tammy Lynn Jackson has been assigned the NPI (National Provider Identifier) 1619958758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Tammy Lynn Jackson?
The Tammy Lynn Jackson is situated at 1014 Sun Meadow Ct, in the city of College Station, state of TX, with the zip code 778457291.
What is Tammy Lynn Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tammy Lynn Jackson is Adult Development & Aging, and the taxonomy classification code that categorizes this area of expertise is 103Ta0700X.
On what date was the 1619958758 assigned to Tammy Lynn Jackson?
The Tammy Lynn Jackson was issued its 1619958758 on 2005-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tammy Lynn Jackson last refreshed?
The information related to the Tammy Lynn Jackson, including its address, specialty, and other relevant details, was last updated on 2023-08-25.