David K Jackson in New Orleans - Prescribing (medical)
David K Jackson - NPI 1053464339
David K Jackson is a Prescribing (medical) in New Orleans, Louisiana. David K Jackson practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for David K Jackson is 1053464339. The last update date is 2008-05-07.
David K Jackson's current location address is 200 Henry Clay Ave, New Orleans, Louisiana. You can contact this provider via phone number 5088967272. The mailing address for David K Jackson is 200 Henry Clay Ave, New Orleans, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David K Jackson |
|---|---|
| Address | 200 Henry Clay Ave, New Orleans, Louisiana |
| Phone Number | 5088967272 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD MSCP |
NPI Number Detail
| NPI Number | 1053464339 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2008-05-07 |
Provider Mailing Address Detail
| Address | 200 Henry Clay Ave |
|---|---|
| City | New Orleans |
| State | Louisiana (LA) |
| Post Code | 701185720 |
| Phone Number | 5088967272 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 694MP |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1677833 | LA | -- |
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What is the unique identifier code issued to David K Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The David K Jackson has been assigned the NPI (National Provider Identifier) 1053464339. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the David K Jackson located?
The David K Jackson is located at 200 Henry Clay Ave, New Orleans, LA 701185720.
What is the David K Jackson's area of specialization and corresponding taxonomy classification?
The David K Jackson's specialty field is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their specialties.
On what date did David K Jackson receive its 1053464339 assignment from the Centers for Medicare & Medicaid Services?
The David K Jackson was assigned its 1053464339 on 2007-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding David K Jackson most recently updated?
The details pertaining to the David K Jackson, including its address, specialty, and other relevant information, were last refreshed on 2008-05-07.