Earline Jackson in Cary - Licensed Practical Nurse
Earline Jackson - NPI 1982743274
Earline Jackson is a Licensed Practical Nurse in Cary, North Carolina. Earline Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Earline Jackson is 1982743274. The last update date is 2018-12-14.
Earline Jackson's current location address is 1230 Se Maynard Rd Ste 102, Cary, North Carolina. You can contact this provider via phone number 9196770767 and fax number 9196519322. The mailing address for Earline Jackson is 1230 Se Maynard Rd Ste 102, Cary, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earline Jackson |
|---|---|
| Address | 1230 Se Maynard Rd Ste 102, Cary, North Carolina |
| Phone Number | 9196770767 |
| Fax Number | 9196519322 |
| Sole Proprietor | Y |
| Credentials | LPN CMLDT |
NPI Number Detail
| NPI Number | 1982743274 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2018-12-14 |
Provider Mailing Address Detail
| Address | 1230 Se Maynard Rd Ste 102 |
|---|---|
| City | Cary |
| State | North Carolina (NC) |
| Post Code | 275116945 |
| Phone Number | 9196770767 |
| Fax Number | 9196519322 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 26NP01103600 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Earline Jackson?
The Earline Jackson has been issued the NPI (National Provider Identifier) 1982743274 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Earline Jackson?
The Earline Jackson is physically situated at 1230 Se Maynard Rd Ste 102, in the city of Cary, state of NC, with the postal code 275116945.
What is Earline Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Earline Jackson is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Earline Jackson receive the assignment of its 1982743274 from the Centers for Medicare & Medicaid Services?
The Earline Jackson was issued its 1982743274 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date was the information regarding Earline Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Earline Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-12-14.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY