Jeffrey A Jackson in Tyler - Endocrinology, Diabetes & Metabolism
Jeffrey A Jackson - NPI 1972563443
Jeffrey A Jackson is a Endocrinology, Diabetes & Metabolism in Tyler, Texas. Jeffrey A Jackson practices all healthcare services and medical treatments related to Endocrinology, Diabetes & Metabolism. The NPI Number for Jeffrey A Jackson is 1972563443. The last update date is 2021-11-19.
Jeffrey A Jackson's current location address is 409 W Ferguson St, Tyler, Texas. You can contact this provider via phone number 9035968353. The mailing address for Jeffrey A Jackson is 409 W Ferguson St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey A Jackson |
|---|---|
| Address | 409 W Ferguson St, Tyler, Texas |
| Phone Number | 9035968353 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972563443 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2021-11-19 |
Provider Mailing Address Detail
| Address | 409 W Ferguson St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757025632 |
| Phone Number | 9035968353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endocrinology, Diabetes & Metabolism |
|---|---|
| Taxonomy | 207Re0101X |
| Licence No | 4301045865 |
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Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and men |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 460002994 | TX | RR/MEDICARE | |
| 1010571-02 | TX | -- | |
| 201350760 | IN | -- | |
| 1010571-01 | TX | CSHCN | |
| 807573 | TX | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jeffrey A Jackson by the Centers for Medicare & Medicaid Services?
The Jeffrey A Jackson has been assigned the NPI (National Provider Identifier) 1972563443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Jeffrey A Jackson located?
The Jeffrey A Jackson is located at 409 W Ferguson St, Tyler, TX 757025632.
What is Jeffrey A Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey A Jackson's area of specialization is Endocrinology, Diabetes & Metabolism, and the corresponding taxonomy code that categorizes this field of practice is 207Re0101X.
When was the Jeffrey A Jackson's 1972563443 issued?
The Jeffrey A Jackson's 1972563443 was issued on 2006-03-27.
As of what date were the details pertaining to Jeffrey A Jackson last refreshed?
The information related to the Jeffrey A Jackson, including its address, specialty, and other relevant details, was last updated on 2021-11-19.