Hazel Anita Jackson in Conyers - Medical-surgical

Hazel Anita Jackson - NPI 1770510802

Hazel Anita Jackson is a Medical-surgical in Conyers, Georgia. Hazel Anita Jackson practices all healthcare services and medical treatments related to Medical-surgical. The NPI Number for Hazel Anita Jackson is 1770510802. The last update date is 2007-07-08.

Hazel Anita Jackson's current location address is 1429 Oak Knoll Dr Ne, Conyers, Georgia. You can contact this provider via phone number 7709181558. The mailing address for Hazel Anita Jackson is 1429 Oak Knoll Dr Ne, Conyers, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Hazel Anita Jackson
Address 1429 Oak Knoll Dr Ne, Conyers, Georgia
Phone Number 7709181558
Fax Number
Sole Proprietor N
Credentials MN, RN, AP

NPI Number Detail

NPI Number 1770510802
Provider Enumeration Date 2006-06-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1429 Oak Knoll Dr Ne
City Conyers
State Georgia (GA)
Post Code 300124751
Phone Number 7709181558
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical-surgical
Taxonomy 163Wm0705X
Licence No R084397
Definition:
A registered nurse who cares for adult patients with general medical and surgical needs.

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FAQs about Hazel Anita Jackson

What is the unique identifier code issued to Hazel Anita Jackson by the Centers for Medicare & Medicaid Services?

The Hazel Anita Jackson has been assigned the NPI (National Provider Identifier) 1770510802. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Hazel Anita Jackson's physical address?

The Hazel Anita Jackson is physically located at 1429 Oak Knoll Dr Ne, in the city of Conyers, GA, with the postal code 300124751.

What is Hazel Anita Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Hazel Anita Jackson is Medical-surgical, and the taxonomy code that categorizes this field of expertise is 163Wm0705X.

On what date did Hazel Anita Jackson receive its 1770510802 assignment from the Centers for Medicare & Medicaid Services?

The Hazel Anita Jackson was assigned its 1770510802 on 2006-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Hazel Anita Jackson most recently updated or revised?

The information pertaining to Hazel Anita Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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