Melanie B Jackson in Thomaston - Licensed Practical Nurse
Melanie B Jackson - NPI 1942421557
Melanie B Jackson is a Licensed Practical Nurse in Thomaston, Georgia. Melanie B Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Melanie B Jackson is 1942421557. The last update date is 2007-07-08.
Melanie B Jackson's current location address is 605 West Gordon, Thomaston, Georgia. You can contact this provider via phone number 7703585252 and fax number 7066466039. The mailing address for Melanie B Jackson is 605 West Gordon, Thomaston, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melanie B Jackson |
|---|---|
| Address | 605 West Gordon, Thomaston, Georgia |
| Phone Number | 7703585252 |
| Fax Number | 7066466039 |
| Sole Proprietor | Y |
| Credentials | L.PN |
NPI Number Detail
| NPI Number | 1942421557 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 605 West Gordon |
|---|---|
| City | Thomaston |
| State | Georgia (GA) |
| Post Code | 30286 |
| Phone Number | 7703585252 |
| Fax Number | 7066466039 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN031091 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique 10-digit identifier code assigned to Melanie B Jackson by the Centers for Medicare & Medicaid Services?
The Melanie B Jackson has been issued the NPI (National Provider Identifier) 1942421557 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Melanie B Jackson's physical address?
The Melanie B Jackson is physically located at 605 West Gordon, in the city of Thomaston, GA, with the postal code 30286.
What is Melanie B Jackson's area of expertise and its corresponding taxonomy classification?
The Melanie B Jackson's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Melanie B Jackson receive its 1942421557 assignment from the Centers for Medicare & Medicaid Services?
The Melanie B Jackson was assigned its 1942421557 on 2007-05-01, 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 pertaining to Melanie B Jackson last refreshed?
The information related to the Melanie B Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC