Juliana Jackson Clark in Raleigh - Adolescent Medicine
Juliana Jackson Clark - NPI 1982675344
Juliana Jackson Clark is a Adolescent Medicine in Raleigh, North Carolina. Juliana Jackson Clark practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Juliana Jackson Clark is 1982675344. The last update date is 2007-07-08.
Juliana Jackson Clark's current location address is 2406 Blue Ridge Rd, Raleigh, North Carolina. You can contact this provider via phone number 9197865001 and fax number 9197865051. The mailing address for Juliana Jackson Clark is 2406 Blue Ridge Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juliana Jackson Clark |
|---|---|
| Address | 2406 Blue Ridge Rd, Raleigh, North Carolina |
| Phone Number | 9197865001 |
| Fax Number | 9197865051 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982675344 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2406 Blue Ridge Rd |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276076678 |
| Phone Number | 9197865001 |
| Fax Number | 9197865051 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 200300622 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89138NX | NC | -- | |
| 138NX | NC | BLUECROSSBLUESHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Juliana Jackson Clark by the Centers for Medicare & Medicaid Services?
The Juliana Jackson Clark has been issued the NPI (National Provider Identifier) 1982675344 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Juliana Jackson Clark located?
The Juliana Jackson Clark is located at 2406 Blue Ridge Rd, Raleigh, NC 276076678.
What is the Juliana Jackson Clark's area of specialization and corresponding taxonomy classification?
The Juliana Jackson Clark's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date did the Juliana Jackson Clark receive the assignment of its 1982675344 from the Centers for Medicare & Medicaid Services?
The Juliana Jackson Clark was issued its 1982675344 by the Centers for Medicare & Medicaid Services on 2006-02-01.
As of what date was the information pertaining to Juliana Jackson Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Juliana Jackson Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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