Linda Carol Jackson in Kingwood - Specialist
Linda Carol Jackson - NPI 1821181991
Linda Carol Jackson is a Specialist in Kingwood, . Linda Carol Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Linda Carol Jackson is 1821181991. The last update date is 2019-05-22.
Linda Carol Jackson's current location address is 150 Memorial Dr, Kingwood, . You can contact this provider via phone number 7707781931. The mailing address for Linda Carol Jackson is 150 Memorial Dr, Kingwood, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Carol Jackson |
|---|---|
| Address | 150 Memorial Dr, Kingwood, |
| Phone Number | 7707781931 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821181991 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2019-05-22 |
Provider Mailing Address Detail
| Address | 150 Memorial Dr |
|---|---|
| City | Kingwood |
| State | (WV) |
| Post Code | 26537 |
| Phone Number | 7707781931 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 40928 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00697606B | GA | -- | |
| 6593349 | GA | CIGNA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Linda Carol Jackson?
The Linda Carol Jackson has been issued the NPI (National Provider Identifier) 1821181991 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Linda Carol Jackson is geographically located?
The Linda Carol Jackson is physically situated at the following location: 150 Memorial Dr, Kingwood, WV, 26537.
What is Linda Carol Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Linda Carol Jackson's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821181991 to Linda Carol Jackson?
The Linda Carol Jackson received its 1821181991 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date were the Linda Carol Jackson's details last updated?
The information pertaining to the Linda Carol Jackson, including its address, specialty, and other details, was most recently updated on 2019-05-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA