Loretta Jackson-William in Jackson - Emergency Medicine

Loretta Jackson-William - NPI 1396770749

Loretta Jackson-William is a Emergency Medicine in Jackson, Mississippi. Loretta Jackson-William practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Loretta Jackson-William is 1396770749. The last update date is 2015-11-17.

Loretta Jackson-William's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842538 and fax number 6018151854. The mailing address for Loretta Jackson-William is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Loretta Jackson-William
Address 2500 N State St, Jackson, Mississippi
Phone Number 6019842538
Fax Number 6018151854
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1396770749
Provider Enumeration Date 2006-07-12
Last Updated Date 2015-11-17

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019842538
Fax Number 6018151854

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 16332
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19149 MS --
512G700003 MS MS MEDICARE - GROUP
P00613193 MS MEDICARE RR#
930088703 MS RAILROAD MEDICARE

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FAQs about Loretta Jackson-William

What is the unique 10-digit identifier code assigned to Loretta Jackson-William by the Centers for Medicare & Medicaid Services?

The Loretta Jackson-William has been issued the NPI (National Provider Identifier) 1396770749 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Loretta Jackson-William's facilities are situated?

The facilities of Loretta Jackson-William are physically located at the following address: 2500 N State St, Jackson, MS, 392164500.

What is the area of specialization for Loretta Jackson-William, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Loretta Jackson-William is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.

On what date did Loretta Jackson-William receive its 1396770749 assignment from the Centers for Medicare & Medicaid Services?

The Loretta Jackson-William was assigned its 1396770749 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Loretta Jackson-William most recently updated or revised?

The details related to Loretta Jackson-William, including its address, specialty, and other relevant information, were last updated or revised on 2015-11-17.

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