Scott M Jackson in Fayetteville - Dermatology
Scott M Jackson - NPI 1336267509
Scott M Jackson is a Dermatology in Fayetteville, Arkansas. Scott M Jackson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Scott M Jackson is 1336267509. The last update date is 2022-02-22.
Scott M Jackson's current location address is 4375 N Vantage Dr Ste 305, Fayetteville, Arkansas. You can contact this provider via phone number 4794435100. The mailing address for Scott M Jackson is 4375 N Vantage Dr Ste 305, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott M Jackson |
|---|---|
| Address | 4375 N Vantage Dr Ste 305, Fayetteville, Arkansas |
| Phone Number | 4794435100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336267509 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2022-02-22 |
Provider Mailing Address Detail
| Address | 4375 N Vantage Dr Ste 305 |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 727034984 |
| Phone Number | 4794435100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | E13748 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 261960001 | AR | -- |
Post Comment/ Review Below
What is the Scott M Jackson's unique identification number?
The Scott M Jackson has been assigned the NPI (National Provider Identifier) Number 1336267509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Scott M Jackson's physical address?
The Scott M Jackson is physically located at 4375 N Vantage Dr Ste 305, in the city of Fayetteville, AR, with the postal code 727034984.
What is the Scott M Jackson's specialty and taxonomy code?
The Scott M Jackson's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
When did Scott M Jackson receive its 1336267509 assignment?
The Scott M Jackson was assigned its 1336267509 on 2007-03-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Scott M Jackson most recently updated or refreshed?
The details pertaining to the Scott M Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-22.
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