Kristine Marie Jacquin in Mississippi State - Clinical
Kristine Marie Jacquin - NPI 1245447796
Kristine Marie Jacquin is a Clinical in Mississippi State, Mississippi. Kristine Marie Jacquin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristine Marie Jacquin is 1245447796. The last update date is 2007-07-08.
Kristine Marie Jacquin's current location address is Po Box 2420, Mississippi State, Mississippi. You can contact this provider via phone number 6623251022 and fax number 6623257212. The mailing address for Kristine Marie Jacquin is Po Box 2420, Mississippi State, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Marie Jacquin |
|---|---|
| Address | Po Box 2420, Mississippi State, Mississippi |
| Phone Number | 6623251022 |
| Fax Number | 6623257212 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1245447796 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 2420 |
|---|---|
| City | Mississippi State |
| State | Mississippi (MS) |
| Post Code | 397622420 |
| Phone Number | 6623251022 |
| Fax Number | 6623257212 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 40-026 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Kristine Marie Jacquin by the Centers for Medicare & Medicaid Services (CMS)?
The Kristine Marie Jacquin has been assigned the NPI (National Provider Identifier) 1245447796. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Kristine Marie Jacquin is located?
The Kristine Marie Jacquin is situated at the following address: Po Box 2420, Mississippi State, MS, 397622420.
What is Kristine Marie Jacquin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kristine Marie Jacquin is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245447796 to Kristine Marie Jacquin?
The Centers for Medicare & Medicaid Services originally issued the 1245447796 to Kristine Marie Jacquin on 2007-05-16.
As of what date were the details pertaining to Kristine Marie Jacquin last refreshed?
The information related to the Kristine Marie Jacquin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.