Mary Anne Jackson in Kansas City - Pediatric Infectious Diseases
Mary Anne Jackson - NPI 1710938188
Mary Anne Jackson is a Pediatric Infectious Diseases in Kansas City, Missouri. Mary Anne Jackson practices all healthcare services and medical treatments related to Pediatric Infectious Diseases. The NPI Number for Mary Anne Jackson is 1710938188. The last update date is 2011-06-22.
Mary Anne Jackson's current location address is 2401 Gillham Rd, Kansas City, Missouri. You can contact this provider via phone number 8162343061 and fax number 8163461328. The mailing address for Mary Anne Jackson is 2401 Gillham Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Anne Jackson |
|---|---|
| Address | 2401 Gillham Rd, Kansas City, Missouri |
| Phone Number | 8162343061 |
| Fax Number | 8163461328 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710938188 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2011-06-22 |
Provider Mailing Address Detail
| Address | 2401 Gillham Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 6410846190 |
| Phone Number | 8162343061 |
| Fax Number | 8163461328 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Infectious Diseases |
|---|---|
| Taxonomy | 2080P0208X |
| Licence No | R8D24 |
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Definition: A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying disea |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202250304 | MO | -- | |
| 100204990A | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Anne Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Anne Jackson has been assigned the NPI (National Provider Identifier) 1710938188. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mary Anne Jackson?
The Mary Anne Jackson is physically situated at 2401 Gillham Rd, in the city of Kansas City, state of MO, with the postal code 6410846190.
What is the Mary Anne Jackson's specialty and taxonomy code?
The Mary Anne Jackson's specialty is Pediatric Infectious Diseases, and the corresponding taxonomy code is 2080P0208X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710938188 to Mary Anne Jackson?
The Mary Anne Jackson received its 1710938188 assignment from the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the Mary Anne Jackson's information last updated?
The Mary Anne Jackson's information was last updated on 2011-06-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY