Okanta B Jackson in Tallahassee - Dermatology
Okanta B Jackson - NPI 1578670055
Okanta B Jackson is a Dermatology in Tallahassee, Florida. Okanta B Jackson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Okanta B Jackson is 1578670055. The last update date is 2007-07-08.
Okanta B Jackson's current location address is Po Box 13859, Tallahassee, Florida. You can contact this provider via phone number 8508774134 and fax number 8504029130. The mailing address for Okanta B Jackson is Po Box 13859, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Okanta B Jackson |
|---|---|
| Address | Po Box 13859, Tallahassee, Florida |
| Phone Number | 8508774134 |
| Fax Number | 8504029130 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578670055 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 13859 |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 323173859 |
| Phone Number | 8508774134 |
| Fax Number | 8504029130 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME93314 |
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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 |
|---|---|---|---|
| 16057 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Okanta B Jackson by the Centers for Medicare & Medicaid Services?
The Okanta B Jackson has been assigned the NPI (National Provider Identifier) 1578670055 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Okanta B Jackson?
The Okanta B Jackson is situated at Po Box 13859, in the city of Tallahassee, state of FL, with the zip code 323173859.
What is Okanta B Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Okanta B Jackson is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did the Okanta B Jackson receive its 1578670055 assignment from the Centers for Medicare & Medicaid Services?
The Okanta B Jackson was assigned its 1578670055 by the Centers for Medicare & Medicaid Services on 2006-08-23.
As of what date was the information regarding Okanta B Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Okanta B Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA