Cheryl Ann Jackson in Altadena - Clinical
Cheryl Ann Jackson - NPI 1164576252
Cheryl Ann Jackson is a Clinical in Altadena, California. Cheryl Ann Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cheryl Ann Jackson is 1164576252. The last update date is 2007-07-08.
Cheryl Ann Jackson's current location address is 328 Anna Maria Dr, Altadena, California. You can contact this provider via phone number 6267981346. The mailing address for Cheryl Ann Jackson is 328 Anna Maria Dr, Altadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Ann Jackson |
|---|---|
| Address | 328 Anna Maria Dr, Altadena, California |
| Phone Number | 6267981346 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164576252 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 328 Anna Maria Dr |
|---|---|
| City | Altadena |
| State | California (CA) |
| Post Code | 910014006 |
| Phone Number | 6267981346 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS17478 |
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What is the unique 10-digit identification code issued to Cheryl Ann Jackson by the Centers for Medicare & Medicaid Services?
The Cheryl Ann Jackson has been assigned the NPI (National Provider Identifier) 1164576252 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 Cheryl Ann Jackson?
The Cheryl Ann Jackson is situated at 328 Anna Maria Dr, in the city of Altadena, state of CA, with the zip code 910014006.
What is Cheryl Ann 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 Cheryl Ann Jackson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164576252 to Cheryl Ann Jackson?
The Centers for Medicare & Medicaid Services assigned the 1164576252 to Cheryl Ann Jackson on 2007-01-23.
When was the information related to Cheryl Ann Jackson most recently updated or refreshed?
The details pertaining to the Cheryl Ann Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.