Christy Danielle Jackson in Elyria - Licensed Psychiatric Technician
Christy Danielle Jackson - NPI 1295908051
Christy Danielle Jackson is a Licensed Psychiatric Technician in Elyria, Ohio. Christy Danielle Jackson practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Christy Danielle Jackson is 1295908051. The last update date is 2008-04-11.
Christy Danielle Jackson's current location address is 409 Courtland St, Elyria, Ohio. You can contact this provider via phone number 4403245709. The mailing address for Christy Danielle Jackson is 409 Courtland St, Elyria, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christy Danielle Jackson |
|---|---|
| Address | 409 Courtland St, Elyria, Ohio |
| Phone Number | 4403245709 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NURSE |
NPI Number Detail
| NPI Number | 1295908051 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 409 Courtland St |
|---|---|
| City | Elyria |
| State | Ohio (OH) |
| Post Code | 440353167 |
| Phone Number | 4403245709 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PN102812 |
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Definition: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych |
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What is the unique identification code assigned to Christy Danielle Jackson by the Centers for Medicare & Medicaid Services?
The Christy Danielle Jackson has been issued the NPI (National Provider Identifier) 1295908051. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Christy Danielle Jackson is geographically located?
The Christy Danielle Jackson is physically situated at the following location: 409 Courtland St, Elyria, OH, 440353167.
What is Christy Danielle Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Christy Danielle Jackson is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.
On what date was the 1295908051 assigned to Christy Danielle Jackson?
The Christy Danielle Jackson was issued its 1295908051 on 2008-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Christy Danielle Jackson's details last updated?
The information pertaining to the Christy Danielle Jackson, including its address, specialty, and other details, was most recently updated on 2008-04-11.
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