Brooke A Jackson is a Dermatology in Durham, North Carolina. Brooke A Jackson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Brooke A Jackson is 1093887960. The last update date is 2021-08-11.
Brooke A Jackson's current location address is 245 East Nc Highway 54, Durham, North Carolina. You can contact this provider via phone number 9192949440 and fax number 9192373899. The mailing address for Brooke A Jackson is 245 East Nc Highway 54, Durham, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brooke A Jackson |
|---|---|
| Address | 245 East Nc Highway 54, Durham, North Carolina |
| Phone Number | 9192949440 |
| Fax Number | 9192373899 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093887960 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2021-08-11 |
Provider Mailing Address Detail
| Address | 245 East Nc Highway 54 |
|---|---|
| City | Durham |
| State | North Carolina (NC) |
| Post Code | 27713 |
| Phone Number | 9192949440 |
| Fax Number | 9192373899 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36093014 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1633086 | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Brooke A Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Brooke A Jackson has been assigned the NPI (National Provider Identifier) 1093887960. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Brooke A Jackson is physically located?
The Brooke A Jackson is physically situated at the following address: 245 East Nc Highway 54, Durham, NC, 27713.
What is Brooke A Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brooke A Jackson's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Brooke A Jackson receive the assignment of its 1093887960 from the Centers for Medicare & Medicaid Services?
The Brooke A Jackson was issued its 1093887960 by the Centers for Medicare & Medicaid Services on 2006-11-15.
When was the information regarding Brooke A Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brooke A Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-08-11.