Gale Evans Jackson in Clarksville - Family Medicine
Gale Evans Jackson - NPI 1437315470
Gale Evans Jackson is a Family Medicine in Clarksville, Tennessee. Gale Evans Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gale Evans Jackson is 1437315470. The last update date is 2022-08-29.
Gale Evans Jackson's current location address is 490 Dunlop Ln, Clarksville, Tennessee. You can contact this provider via phone number 9312458600 and fax number 9312458660. The mailing address for Gale Evans Jackson is 490 Dunlop Ln, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gale Evans Jackson |
|---|---|
| Address | 490 Dunlop Ln, Clarksville, Tennessee |
| Phone Number | 9312458600 |
| Fax Number | 9312458660 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437315470 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2022-08-29 |
Provider Mailing Address Detail
| Address | 490 Dunlop Ln |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370405007 |
| Phone Number | 9312458600 |
| Fax Number | 9312458660 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101244386 |
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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 |
|---|---|---|---|
| Q000101 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gale Evans Jackson by the Centers for Medicare & Medicaid Services?
The Gale Evans Jackson has been assigned the NPI (National Provider Identifier) 1437315470. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gale Evans Jackson is physically located?
The Gale Evans Jackson is physically situated at the following address: 490 Dunlop Ln, Clarksville, TN, 370405007.
What is Gale Evans Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gale Evans Jackson is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date was the 1437315470 assigned to Gale Evans Jackson?
The Gale Evans Jackson was issued its 1437315470 on 2008-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gale Evans Jackson's details last updated?
The information pertaining to the Gale Evans Jackson, including its address, specialty, and other details, was most recently updated on 2022-08-29.
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