Jackie E. Mchenry in Mandeville - Family Medicine

Jackie E. Mchenry - NPI 1649252057

Jackie E. Mchenry is a Family Medicine in Mandeville, Louisiana. Jackie E. Mchenry practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackie E. Mchenry is 1649252057. The last update date is 2018-06-05.

Jackie E. Mchenry's current location address is 1111 N Causeway Blvd, Mandeville, Louisiana. You can contact this provider via phone number 9857731844 and fax number 9858938272. The mailing address for Jackie E. Mchenry is 1111 N Causeway Blvd, Mandeville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie E. Mchenry
Address 1111 N Causeway Blvd, Mandeville, Louisiana
Phone Number 9857731844
Fax Number 9858938272
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1649252057
Provider Enumeration Date 2005-11-20
Last Updated Date 2018-06-05

Provider Mailing Address Detail

Address 1111 N Causeway Blvd
City Mandeville
State Louisiana (LA)
Post Code 704713409
Phone Number 9857731844
Fax Number 9858938272

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 14485
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
80185585 RAILROAD MEDICARE
113820 MS --

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FAQs about Jackie E. Mchenry

What is the unique identifier code issued to Jackie E. Mchenry by the Centers for Medicare & Medicaid Services (CMS)?

The Jackie E. Mchenry has been assigned the NPI (National Provider Identifier) 1649252057. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Jackie E. Mchenry located?

The Jackie E. Mchenry is located at 1111 N Causeway Blvd, Mandeville, LA 704713409.

What is Jackie E. Mchenry'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 Jackie E. Mchenry is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Jackie E. Mchenry receive its 1649252057 assignment from the Centers for Medicare & Medicaid Services?

The Jackie E. Mchenry was assigned its 1649252057 on 2005-11-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jackie E. Mchenry most recently updated or refreshed?

The details pertaining to the Jackie E. Mchenry, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-05.

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