Pamela Lee Jackson in South Burlington - Pediatrics
Pamela Lee Jackson - NPI 1619905072
Pamela Lee Jackson is a Pediatrics in South Burlington, Vermont. Pamela Lee Jackson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pamela Lee Jackson is 1619905072. The last update date is 2015-01-08.
Pamela Lee Jackson's current location address is 4 Harbor Ridge Rd, South Burlington, Vermont. You can contact this provider via phone number 8028638962. The mailing address for Pamela Lee Jackson is 4 Harbor Ridge Rd, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Lee Jackson |
|---|---|
| Address | 4 Harbor Ridge Rd, South Burlington, Vermont |
| Phone Number | 8028638962 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619905072 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2015-01-08 |
Provider Mailing Address Detail
| Address | 4 Harbor Ridge Rd |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54037849 |
| Phone Number | 8028638962 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 42-0008559 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OVN0393 | VT | -- | |
| E01148865 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pamela Lee Jackson by the Centers for Medicare & Medicaid Services?
The Pamela Lee Jackson has been assigned the NPI (National Provider Identifier) 1619905072. 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 Pamela Lee Jackson is physically located?
The Pamela Lee Jackson is physically situated at the following address: 4 Harbor Ridge Rd, South Burlington, VT, 54037849.
What is the area of specialization for Pamela Lee Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pamela Lee Jackson is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619905072 to Pamela Lee Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1619905072 to Pamela Lee Jackson on 2006-06-28.
When was the Pamela Lee Jackson's information last updated?
The Pamela Lee Jackson's information was last updated on 2015-01-08.