Kimberly Ann Funches-Jackson in Phenix City - Family Medicine
Kimberly Ann Funches-Jackson - NPI 1497705123
Kimberly Ann Funches-Jackson is a Family Medicine in Phenix City, Alabama. Kimberly Ann Funches-Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kimberly Ann Funches-Jackson is 1497705123. The last update date is 2017-02-27.
Kimberly Ann Funches-Jackson's current location address is 1810 Stadium Dr, Phenix City, Alabama. You can contact this provider via phone number 3342971085. The mailing address for Kimberly Ann Funches-Jackson is 1810 Stadium Dr, Phenix City, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Ann Funches-Jackson |
|---|---|
| Address | 1810 Stadium Dr, Phenix City, Alabama |
| Phone Number | 3342971085 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497705123 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2017-02-27 |
Provider Mailing Address Detail
| Address | 1810 Stadium Dr |
|---|---|
| City | Phenix City |
| State | Alabama (AL) |
| Post Code | 3686731770 |
| Phone Number | 3342971085 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 56705 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56705 | GA | GA LICENSE | |
| 26806 | AL | STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kimberly Ann Funches-Jackson?
The Kimberly Ann Funches-Jackson has been issued the NPI (National Provider Identifier) 1497705123 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kimberly Ann Funches-Jackson?
The Kimberly Ann Funches-Jackson is situated at 1810 Stadium Dr, in the city of Phenix City, state of AL, with the zip code 3686731770.
What is Kimberly Ann Funches-Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberly Ann Funches-Jackson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497705123 to Kimberly Ann Funches-Jackson?
The Centers for Medicare & Medicaid Services assigned the 1497705123 to Kimberly Ann Funches-Jackson on 2006-05-11.
As of what date was the information regarding Kimberly Ann Funches-Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Ann Funches-Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-27.