Theresa G Jackson in Portsmouth - Family Medicine
Theresa G Jackson - NPI 1245239227
Theresa G Jackson is a Family Medicine in Portsmouth, Virginia. Theresa G Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Theresa G Jackson is 1245239227. The last update date is 2013-07-10.
Theresa G Jackson's current location address is 3640 High St, Portsmouth, Virginia. You can contact this provider via phone number 7573976930 and fax number 7573974864. The mailing address for Theresa G Jackson is 3640 High St, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa G Jackson |
|---|---|
| Address | 3640 High St, Portsmouth, Virginia |
| Phone Number | 7573976930 |
| Fax Number | 7573974864 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245239227 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2013-07-10 |
Provider Mailing Address Detail
| Address | 3640 High St |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237073213 |
| Phone Number | 7573976930 |
| Fax Number | 7573974864 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101050002 |
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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 |
|---|---|---|---|
| 5602785 | VA | -- | |
| 80007399 | VA | MEDICARE INDIVIDUAL PROVIDER I | |
| P00799688 | VA | RR MEICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theresa G Jackson by the Centers for Medicare & Medicaid Services?
The Theresa G Jackson has been issued the NPI (National Provider Identifier) 1245239227, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theresa G Jackson located?
The Theresa G Jackson is located at 3640 High St, Portsmouth, VA 237073213.
What is the Theresa G Jackson's area of specialization and corresponding taxonomy classification?
The Theresa G Jackson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1245239227 to Theresa G Jackson?
The Centers for Medicare & Medicaid Services assigned the 1245239227 to Theresa G Jackson on 2005-07-20.
As of what date was the information pertaining to Theresa G Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theresa G Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-10.
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