Patricia Ann Jackson in Bristol - Clinical
Patricia Ann Jackson - NPI 1396888335
Patricia Ann Jackson is a Clinical in Bristol, Virginia. Patricia Ann Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Ann Jackson is 1396888335. The last update date is 2007-07-08.
Patricia Ann Jackson's current location address is 510 Cumberland St., Bristol, Virginia. You can contact this provider via phone number 2766454758 and fax number 2766699093. The mailing address for Patricia Ann Jackson is 510 Cumberland St., Bristol, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patricia Ann Jackson |
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Address | 510 Cumberland St., Bristol, Virginia |
Phone Number | 2766454758 |
Fax Number | 2766699093 |
Sole Proprietor | Y |
Credentials | L.C.S.W |
NPI Number Detail
NPI Number | 1396888335 |
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Provider Enumeration Date | 2007-02-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 510 Cumberland St. |
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City | Bristol |
State | Virginia (VA) |
Post Code | 24201 |
Phone Number | 2766454758 |
Fax Number | 2766699093 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 904006464 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identification code assigned to Patricia Ann Jackson by the Centers for Medicare & Medicaid Services?
The Patricia Ann Jackson has been issued the NPI (National Provider Identifier) 1396888335. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Patricia Ann Jackson's facilities are geographically located?
The facilities of Patricia Ann Jackson are physically situated at the following location: 510 Cumberland St., Bristol, VA, 24201.
What is Patricia Ann Jackson's area of expertise and its corresponding taxonomy classification?
The Patricia Ann Jackson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Patricia Ann Jackson receive its 1396888335?
The Patricia Ann Jackson was issued its 1396888335 on 2007-02-15, which is the date when the organization was assigned this unique identifier.
When was the information related to Patricia Ann Jackson most recently updated or refreshed?
The details pertaining to the Patricia Ann Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.