Crystal B Jackson in Youngsville - Specialist
Crystal B Jackson - NPI 1083879837
Crystal B Jackson is a Specialist in Youngsville, Louisiana. Crystal B Jackson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Crystal B Jackson is 1083879837. The last update date is 2012-10-01.
Crystal B Jackson's current location address is 700 Southlake Cir, Youngsville, Louisiana. You can contact this provider via phone number 7033501912. The mailing address for Crystal B Jackson is 700 Southlake Cir, Youngsville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal B Jackson |
|---|---|
| Address | 700 Southlake Cir, Youngsville, Louisiana |
| Phone Number | 7033501912 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083879837 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
| Address | 700 Southlake Cir |
|---|---|
| City | Youngsville |
| State | Louisiana (LA) |
| Post Code | 705925671 |
| Phone Number | 7033501912 |
| 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 |
|---|---|---|---|
| P00856598 | DC | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Crystal B Jackson by the Centers for Medicare & Medicaid Services?
The Crystal B Jackson has been assigned the NPI (National Provider Identifier) 1083879837 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Crystal B Jackson is geographically located?
The Crystal B Jackson is physically situated at the following location: 700 Southlake Cir, Youngsville, LA, 705925671.
What is Crystal B Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crystal B Jackson's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did Crystal B Jackson receive its 1083879837 assignment?
The Crystal B Jackson was assigned its 1083879837 on 2008-07-22, which is the date when this unique identifier was issued to the organization.
When was the information related to Crystal B Jackson most recently updated or refreshed?
The details pertaining to the Crystal B Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-01.
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