Amanda Price Jackson in Mukilteo - Family Medicine
Amanda Price Jackson - NPI 1366451999
Amanda Price Jackson is a Family Medicine in Mukilteo, Washington. Amanda Price Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Amanda Price Jackson is 1366451999. The last update date is 2012-12-11.
Amanda Price Jackson's current location address is 4410 106th St Sw, Mukilteo, Washington. You can contact this provider via phone number 4254936004. The mailing address for Amanda Price Jackson is 4410 106th St Sw, Mukilteo, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Price Jackson |
|---|---|
| Address | 4410 106th St Sw, Mukilteo, Washington |
| Phone Number | 4254936004 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366451999 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2012-12-11 |
Provider Mailing Address Detail
| Address | 4410 106th St Sw |
|---|---|
| City | Mukilteo |
| State | Washington (WA) |
| Post Code | 982754700 |
| Phone Number | 4254936004 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD45776 |
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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 |
|---|---|---|---|
| 1091558 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Amanda Price Jackson by the Centers for Medicare & Medicaid Services?
The Amanda Price Jackson has been assigned the NPI (National Provider Identifier) 1366451999. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Amanda Price Jackson is physically located?
The Amanda Price Jackson is situated at the following address: 4410 106Th St Sw, Mukilteo, WA 982754700.
What is the Amanda Price Jackson's area of specialization and corresponding taxonomy classification?
The Amanda Price 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 1366451999 to Amanda Price Jackson?
The Centers for Medicare & Medicaid Services assigned the 1366451999 to Amanda Price Jackson on 2006-08-05.
As of what date was the information pertaining to Amanda Price Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Amanda Price Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-11.
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