Jeremy Don Jackson in Jackson - Dermatology
Jeremy Don Jackson - NPI 1790996544
Jeremy Don Jackson is a Dermatology in Jackson, Mississippi. Jeremy Don Jackson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jeremy Don Jackson is 1790996544. The last update date is 2017-10-06.
Jeremy Don Jackson's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845601 and fax number 6019846665. The mailing address for Jeremy Don Jackson is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Don Jackson |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845601 |
| Fax Number | 6019846665 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790996544 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2017-10-06 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845601 |
| Fax Number | 6019846665 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 20241 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01402453 | MS | RR MEDICARE | |
| 2585707 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeremy Don Jackson by the Centers for Medicare & Medicaid Services?
The Jeremy Don Jackson has been assigned the NPI (National Provider Identifier) 1790996544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jeremy Don Jackson is physically located?
The Jeremy Don Jackson is situated at the following address: 2500 N State St, Jackson, MS 392164500.
What is the Jeremy Don Jackson's specialty and taxonomy code?
The Jeremy Don Jackson's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the Jeremy Don Jackson receive the assignment of its 1790996544 from the Centers for Medicare & Medicaid Services?
The Jeremy Don Jackson was issued its 1790996544 by the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date was the information regarding Jeremy Don Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy Don Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-10-06.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC