Jerry W Jackson is a Nephrology in Birmingham, Alabama. Jerry W Jackson practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Jerry W Jackson is 1467400051. The last update date is 2011-01-12.
Jerry W Jackson's current location address is 817 Princeton Ave Sw, Birmingham, Alabama. You can contact this provider via phone number 2052265911 and fax number 2052265939. The mailing address for Jerry W Jackson is 817 Princeton Ave Sw, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry W Jackson |
|---|---|
| Address | 817 Princeton Ave Sw, Birmingham, Alabama |
| Phone Number | 2052265911 |
| Fax Number | 2052265939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467400051 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2011-01-12 |
Provider Mailing Address Detail
| Address | 817 Princeton Ave Sw |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 35211 |
| Phone Number | 2052265911 |
| Fax Number | 2052265939 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 6279 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3165 | AL | -- |
Post Comment/ Review Below
What is the Jerry W Jackson's 1467400051?
The Jerry W Jackson's NPI (National Provider Identifier) Number is 1467400051. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jerry W Jackson is physically located?
The Jerry W Jackson is physically situated at the following address: 817 Princeton Ave Sw, Birmingham, AL, 35211.
What is the area of specialization for Jerry W Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry W Jackson is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467400051 to Jerry W Jackson?
The Centers for Medicare & Medicaid Services assigned the 1467400051 to Jerry W Jackson on 2006-05-05.
As of what date was the information pertaining to Jerry W Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry W Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-01-12.