Derek Dean Jackson in Boise - Family Medicine
Derek Dean Jackson - NPI 1225299357
Derek Dean Jackson is a Family Medicine in Boise, Idaho. Derek Dean Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Derek Dean Jackson is 1225299357. The last update date is 2014-08-04.
Derek Dean Jackson's current location address is 777 N Raymond St, Boise, Idaho. You can contact this provider via phone number 2083676030 and fax number 2083227018. The mailing address for Derek Dean Jackson is 777 N Raymond St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Dean Jackson |
|---|---|
| Address | 777 N Raymond St, Boise, Idaho |
| Phone Number | 2083676030 |
| Fax Number | 2083227018 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225299357 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2014-08-04 |
Provider Mailing Address Detail
| Address | 777 N Raymond St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837049251 |
| Phone Number | 2083676030 |
| Fax Number | 2083227018 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MR-0989 |
|
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 |
|---|---|---|---|
| 1225299357 | ID | -- | |
| 808082200 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Derek Dean Jackson by the Centers for Medicare & Medicaid Services?
The Derek Dean Jackson has been issued the NPI (National Provider Identifier) 1225299357 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Derek Dean Jackson?
The Derek Dean Jackson is situated at 777 N Raymond St, in the city of Boise, state of ID, with the zip code 837049251.
What is Derek Dean Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek Dean Jackson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Derek Dean Jackson receive the assignment of its 1225299357 from the Centers for Medicare & Medicaid Services?
The Derek Dean Jackson was issued its 1225299357 by the Centers for Medicare & Medicaid Services on 2008-06-20.
When was the Derek Dean Jackson's information last updated?
The Derek Dean Jackson's information was last updated on 2014-08-04.
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