Grace Nightingal Jackson in Austin - Anatomic Pathology
Grace Nightingal Jackson - NPI 1104020775
Grace Nightingal Jackson is a Anatomic Pathology in Austin, Texas. Grace Nightingal Jackson practices all healthcare services and medical treatments related to Anatomic Pathology. The NPI Number for Grace Nightingal Jackson is 1104020775. The last update date is 2014-10-15.
Grace Nightingal Jackson's current location address is 3445 Executive Center Drive, Austin, Texas. You can contact this provider via phone number 5125794000 and fax number 5124392814. The mailing address for Grace Nightingal Jackson is 3445 Executive Center Drive, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Nightingal Jackson |
|---|---|
| Address | 3445 Executive Center Drive, Austin, Texas |
| Phone Number | 5125794000 |
| Fax Number | 5124392814 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104020775 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2014-10-15 |
Provider Mailing Address Detail
| Address | 3445 Executive Center Drive |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787311678 |
| Phone Number | 5125794000 |
| Fax Number | 5124392814 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology |
|---|---|
| Taxonomy | 207Zp0101X |
| Licence No | BP1-0016584 |
|
Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 204459601 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Grace Nightingal Jackson by the Centers for Medicare & Medicaid Services?
The Grace Nightingal Jackson has been issued the NPI (National Provider Identifier) 1104020775 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Grace Nightingal Jackson is physically located?
The Grace Nightingal Jackson is physically situated at the following address: 3445 Executive Center Drive, Austin, TX, 787311678.
What is the Grace Nightingal Jackson's area of specialization and corresponding taxonomy classification?
The Grace Nightingal Jackson's specialty field is Anatomic Pathology, and it falls under the taxonomy code 207Zp0101X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104020775 to Grace Nightingal Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1104020775 to Grace Nightingal Jackson on 2007-06-14.
As of what date was the information regarding Grace Nightingal Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grace Nightingal Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-15.