Gerald Derand Jackson in Jacksonville - Independent Duty Corpsman
Gerald Derand Jackson - NPI 1962661363
Gerald Derand Jackson is a Independent Duty Corpsman in Jacksonville, Florida. Gerald Derand Jackson practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Gerald Derand Jackson is 1962661363. The last update date is 2009-08-03.
Gerald Derand Jackson's current location address is 2104 Massey Ave, Jacksonville, Florida. You can contact this provider via phone number 9042704241. The mailing address for Gerald Derand Jackson is 2104 Massey Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Derand Jackson |
|---|---|
| Address | 2104 Massey Ave, Jacksonville, Florida |
| Phone Number | 9042704241 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1962661363 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2009-08-03 |
Provider Mailing Address Detail
| Address | 2104 Massey Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32228 |
| Phone Number | 9042704241 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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Post Comment/ Review Below
What is the unique identifier code issued to Gerald Derand Jackson by the Centers for Medicare & Medicaid Services?
The Gerald Derand Jackson has been assigned the NPI (National Provider Identifier) 1962661363. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gerald Derand Jackson's facilities are situated?
The facilities of Gerald Derand Jackson are physically located at the following address: 2104 Massey Ave, Jacksonville, FL, 32228.
What is Gerald Derand Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gerald Derand Jackson is Independent Duty Corpsman, and the taxonomy code that categorizes this field of expertise is 1710I1002X.
When did Gerald Derand Jackson receive its 1962661363 assignment?
The Gerald Derand Jackson was assigned its 1962661363 on 2008-06-02, which is the date when this unique identifier was issued to the organization.
When was the Gerald Derand Jackson's information last updated?
The Gerald Derand Jackson's information was last updated on 2009-08-03.