Alicia Ladonna Jackson in Northport - Specialist
Alicia Ladonna Jackson - NPI 1013071745
Alicia Ladonna Jackson is a Specialist in Northport, Alabama. Alicia Ladonna Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alicia Ladonna Jackson is 1013071745. The last update date is 2007-07-08.
Alicia Ladonna Jackson's current location address is 3630 Northbrook Dr, Northport, Alabama. You can contact this provider via phone number 2053301001. The mailing address for Alicia Ladonna Jackson is 3630 Northbrook Dr, Northport, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Ladonna Jackson |
|---|---|
| Address | 3630 Northbrook Dr, Northport, Alabama |
| Phone Number | 2053301001 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1013071745 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3630 Northbrook Dr |
|---|---|
| City | Northport |
| State | Alabama (AL) |
| Post Code | 354735822 |
| Phone Number | 2053301001 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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 |
|---|---|---|---|
| 9712 | AL | PHYSICAL THERAPY LICENSE |
Post Comment/ Review Below
What is the Alicia Ladonna Jackson's unique identification number?
The Alicia Ladonna Jackson has been assigned the NPI (National Provider Identifier) Number 1013071745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Alicia Ladonna Jackson is physically located?
The Alicia Ladonna Jackson is physically situated at the following address: 3630 Northbrook Dr, Northport, AL, 354735822.
What is Alicia Ladonna Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alicia Ladonna Jackson is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Alicia Ladonna Jackson receive its 1013071745 assignment from the Centers for Medicare & Medicaid Services?
The Alicia Ladonna Jackson was assigned its 1013071745 on 2006-12-20, 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 Alicia Ladonna Jackson last refreshed?
The information related to the Alicia Ladonna Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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