Jacqueline Kracker in Mountain Home - Clinical
Jacqueline Kracker - NPI 1700045457
Jacqueline Kracker is a Clinical in Mountain Home, Tennessee. Jacqueline Kracker practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqueline Kracker is 1700045457. The last update date is 2010-03-14.
Jacqueline Kracker's current location address is James H Quillen Va Medical Center, Mountain Home, Tennessee. You can contact this provider via phone number 4239794341. The mailing address for Jacqueline Kracker is James H Quillen Va Medical Center, Mountain Home, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Kracker |
|---|---|
| Address | James H Quillen Va Medical Center, Mountain Home, Tennessee |
| Phone Number | 4239794341 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1700045457 |
|---|---|
| Provider Enumeration Date | 2008-06-07 |
| Last Updated Date | 2010-03-14 |
Provider Mailing Address Detail
| Address | James H Quillen Va Medical Center |
|---|---|
| City | Mountain Home |
| State | Tennessee (TN) |
| Post Code | 37684 |
| Phone Number | 4239794341 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2926 |
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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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What is the unique 10-digit identifier code assigned to Jacqueline Kracker by the Centers for Medicare & Medicaid Services?
The Jacqueline Kracker has been issued the NPI (National Provider Identifier) 1700045457 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jacqueline Kracker?
The Jacqueline Kracker is situated at James H Quillen Va Medical Center, in the city of Mountain Home, state of TN, with the zip code 37684.
What is Jacqueline Kracker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacqueline Kracker is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date was the 1700045457 assigned to Jacqueline Kracker?
The Jacqueline Kracker was issued its 1700045457 on 2008-06-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jacqueline Kracker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacqueline Kracker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-14.
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