Stacy Latrice Jackson in Seattle - Specialist
Stacy Latrice Jackson - NPI 1982898227
Stacy Latrice Jackson is a Specialist in Seattle, Washington. Stacy Latrice Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stacy Latrice Jackson is 1982898227. The last update date is 2008-12-18.
Stacy Latrice Jackson's current location address is 6817 Greenwood Ave. N., Seattle, Washington. You can contact this provider via phone number 7253510871. The mailing address for Stacy Latrice Jackson is 6817 Greenwood Ave. N., Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Latrice Jackson |
|---|---|
| Address | 6817 Greenwood Ave. N., Seattle, Washington |
| Phone Number | 7253510871 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1982898227 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2008-12-18 |
Provider Mailing Address Detail
| Address | 6817 Greenwood Ave. N. |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981038801 |
| Phone Number | 7253510871 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00024477 |
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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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What is the unique 10-digit identifier code issued to Stacy Latrice Jackson by the Centers for Medicare & Medicaid Services?
The Stacy Latrice Jackson has been assigned the NPI (National Provider Identifier) 1982898227 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Stacy Latrice Jackson is physically located?
The Stacy Latrice Jackson is situated at the following address: 6817 Greenwood Ave. N., Seattle, WA 981038801.
What is Stacy Latrice Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Latrice Jackson is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Stacy Latrice Jackson receive its 1982898227 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Latrice Jackson was assigned its 1982898227 on 2007-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Stacy Latrice Jackson most recently updated?
The details pertaining to the Stacy Latrice Jackson, including its address, specialty, and other relevant information, were last refreshed on 2008-12-18.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL