Phillip Corey Jackson in Harrison - Family Medicine
Phillip Corey Jackson - NPI 1548227481
Phillip Corey Jackson is a Family Medicine in Harrison, Arkansas. Phillip Corey Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Phillip Corey Jackson is 1548227481. The last update date is 2014-08-11.
Phillip Corey Jackson's current location address is 1417 Gladden St, Harrison, Arkansas. You can contact this provider via phone number 8707410016 and fax number 8707414242. The mailing address for Phillip Corey Jackson is 1417 Gladden St, Harrison, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Corey Jackson |
|---|---|
| Address | 1417 Gladden St, Harrison, Arkansas |
| Phone Number | 8707410016 |
| Fax Number | 8707414242 |
| Sole Proprietor | N |
| Credentials | MD PA |
NPI Number Detail
| NPI Number | 1548227481 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 1417 Gladden St |
|---|---|
| City | Harrison |
| State | Arkansas (AR) |
| Post Code | 726015121 |
| Phone Number | 8707410016 |
| Fax Number | 8707414242 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | E3074 |
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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 |
|---|---|---|---|
| 146189001 | AR | -- | |
| 5M007 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Phillip Corey Jackson by the Centers for Medicare & Medicaid Services?
The Phillip Corey Jackson has been assigned the NPI (National Provider Identifier) 1548227481. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Phillip Corey Jackson's physical address?
The Phillip Corey Jackson is physically located at 1417 Gladden St, in the city of Harrison, AR, with the postal code 726015121.
What is Phillip Corey Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Phillip Corey Jackson is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1548227481 assigned to Phillip Corey Jackson?
The Phillip Corey Jackson was issued its 1548227481 on 2006-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Phillip Corey Jackson most recently updated or refreshed?
The details pertaining to the Phillip Corey Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-11.