Mildred Jean Lee-Jackson in Niceville - Specialist
Mildred Jean Lee-Jackson - NPI 1780859728
Mildred Jean Lee-Jackson is a Specialist in Niceville, Florida. Mildred Jean Lee-Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mildred Jean Lee-Jackson is 1780859728. The last update date is 2008-04-29.
Mildred Jean Lee-Jackson's current location address is 178 Howard St, Niceville, Florida. You can contact this provider via phone number 8506786436. The mailing address for Mildred Jean Lee-Jackson is 178 Howard St, Niceville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mildred Jean Lee-Jackson |
|---|---|
| Address | 178 Howard St, Niceville, Florida |
| Phone Number | 8506786436 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1780859728 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 178 Howard St |
|---|---|
| City | Niceville |
| State | Florida (FL) |
| Post Code | 325788022 |
| Phone Number | 8506786436 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT0003333 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891638100 | FL | -- |
Post Comment/ Review Below
What is the Mildred Jean Lee-Jackson's 1780859728?
The Mildred Jean Lee-Jackson's NPI (National Provider Identifier) Number is 1780859728. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mildred Jean Lee-Jackson is physically located?
The Mildred Jean Lee-Jackson is situated at the following address: 178 Howard St, Niceville, FL 325788022.
What is the area of specialization for Mildred Jean Lee-Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mildred Jean Lee-Jackson is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did Mildred Jean Lee-Jackson receive its 1780859728 assignment from the Centers for Medicare & Medicaid Services?
The Mildred Jean Lee-Jackson was assigned its 1780859728 on 2008-04-29, 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 related to Mildred Jean Lee-Jackson most recently updated or revised?
The information pertaining to Mildred Jean Lee-Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-29.