Phillip Corey Jackson, Md Pa in Harrison - Family Medicine
Phillip Corey Jackson, Md Pa - NPI 1821287830
Phillip Corey Jackson, Md Pa is a Family Medicine in Harrison, Arkansas. Phillip Corey Jackson, Md Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Phillip Corey Jackson, Md Pa is 1821287830. The last update date is 2014-06-06.
Phillip Corey Jackson, Md Pa'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, Md Pa is 1417 Gladden St, Harrison, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phillip Corey Jackson, Md Pa |
|---|---|
| Address | 1417 Gladden St, Harrison, Arkansas |
| Phone Number | 8707410016 |
| Fax Number | 8707414242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jackson Corey Phillip |
| Credentials | M.D. |
| Telephone Number | 8707410016 |
NPI Number Detail
| NPI Number | 1821287830 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2014-06-06 |
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 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5F478 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Phillip Corey Jackson, Md Pa by the Centers for Medicare & Medicaid Services?
The Phillip Corey Jackson, Md Pa has been issued the NPI (National Provider Identifier) 1821287830, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phillip Corey Jackson, Md Pa is physically located?
The Phillip Corey Jackson, Md Pa is physically situated at the following address: 1417 Gladden St, Harrison, AR, 726015121.
What is Phillip Corey Jackson, Md Pa'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, Md Pa is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821287830 to Phillip Corey Jackson, Md Pa?
The Phillip Corey Jackson, Md Pa received its 1821287830 assignment from the Centers for Medicare & Medicaid Services on 2007-10-16.
As of what date were the details pertaining to Phillip Corey Jackson, Md Pa last refreshed?
The information related to the Phillip Corey Jackson, Md Pa, including its address, specialty, and other relevant details, was last updated on 2014-06-06.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH