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
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
Provider Enumeration Date 2007-02-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 510 Cumberland St.
City Bristol
State Virginia (VA)
Post Code 24201
Phone Number 2766454758
Fax Number 2766699093

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Patricia Ann Jackson

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.

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