Sheridan Ann Jackson in Roswell - Clinical
Sheridan Ann Jackson - NPI 1982769642
Sheridan Ann Jackson is a Clinical in Roswell, Georgia. Sheridan Ann Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sheridan Ann Jackson is 1982769642. The last update date is 2013-12-06.
Sheridan Ann Jackson's current location address is 380 Hollyberry Dr, Roswell, Georgia. You can contact this provider via phone number 6788949709 and fax number 6788240911. The mailing address for Sheridan Ann Jackson is 380 Hollyberry Dr, Roswell, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sheridan Ann Jackson |
|---|---|
| Address | 380 Hollyberry Dr, Roswell, Georgia |
| Phone Number | 6788949709 |
| Fax Number | 6788240911 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1982769642 |
|---|---|
| Provider Enumeration Date | 2006-12-23 |
| Last Updated Date | 2013-12-06 |
Provider Mailing Address Detail
| Address | 380 Hollyberry Dr |
|---|---|
| City | Roswell |
| State | Georgia (GA) |
| Post Code | 300761216 |
| Phone Number | 6788949709 |
| Fax Number | 6788240911 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003684 |
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What is the unique 10-digit identification code issued to Sheridan Ann Jackson by the Centers for Medicare & Medicaid Services?
The Sheridan Ann Jackson has been assigned the NPI (National Provider Identifier) 1982769642 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Sheridan Ann Jackson's facilities are geographically located?
The facilities of Sheridan Ann Jackson are physically situated at the following location: 380 Hollyberry Dr, Roswell, GA, 300761216.
What is Sheridan Ann Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sheridan Ann Jackson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Sheridan Ann Jackson receive its 1982769642?
The Sheridan Ann Jackson was issued its 1982769642 on 2006-12-23, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Sheridan Ann Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sheridan Ann Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-12-06.
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