Dena W Jackson in Brookhaven - Internal Medicine
Dena W Jackson - NPI 1477663318
Dena W Jackson is a Internal Medicine in Brookhaven, Mississippi. Dena W Jackson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dena W Jackson is 1477663318. The last update date is 2016-11-11.
Dena W Jackson's current location address is 940 Brookway Blvd, Brookhaven, Mississippi. You can contact this provider via phone number 6018235000 and fax number 6018234140. The mailing address for Dena W Jackson is 940 Brookway Blvd, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dena W Jackson |
|---|---|
| Address | 940 Brookway Blvd, Brookhaven, Mississippi |
| Phone Number | 6018235000 |
| Fax Number | 6018234140 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477663318 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2016-11-11 |
Provider Mailing Address Detail
| Address | 940 Brookway Blvd |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396012644 |
| Phone Number | 6018235000 |
| Fax Number | 6018234140 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 15989 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 124165 | MS | -- | |
| P01402452 | MS | RR MEDICARE |
Post Comment/ Review Below
What is the Dena W Jackson's 1477663318?
The Dena W Jackson's NPI (National Provider Identifier) Number is 1477663318. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dena W Jackson?
The Dena W Jackson is situated at 940 Brookway Blvd, in the city of Brookhaven, state of MS, with the zip code 396012644.
What is Dena W Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dena W Jackson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When did Dena W Jackson receive its 1477663318 assignment?
The Dena W Jackson was assigned its 1477663318 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Dena W Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dena W Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-11-11.