Elizabeth Conner Jackson in Lexington - Pediatric Nephrology

Elizabeth Conner Jackson - NPI 1790705135

Elizabeth Conner Jackson is a Pediatric Nephrology in Lexington, Kentucky. Elizabeth Conner Jackson practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Elizabeth Conner Jackson is 1790705135. The last update date is 2011-10-31.

Elizabeth Conner Jackson's current location address is 740 S Limestone, Lexington, Kentucky. You can contact this provider via phone number 8593235481. The mailing address for Elizabeth Conner Jackson is 740 S Limestone, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth Conner Jackson
Address 740 S Limestone, Lexington, Kentucky
Phone Number 8593235481
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790705135
Provider Enumeration Date 2006-07-20
Last Updated Date 2011-10-31

Provider Mailing Address Detail

Address 740 S Limestone
City Lexington
State Kentucky (KY)
Post Code 405360001
Phone Number 8593235481
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Nephrology
Taxonomy 2080P0210X
Licence No 35. 082704
Definition:
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64235567 KY --

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FAQs about Elizabeth Conner Jackson

What is the unique 10-digit identification code assigned to Elizabeth Conner Jackson by the Centers for Medicare & Medicaid Services?

The Elizabeth Conner Jackson has been issued the NPI (National Provider Identifier) 1790705135, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Elizabeth Conner Jackson's facilities are geographically located?

The facilities of Elizabeth Conner Jackson are physically situated at the following location: 740 S Limestone, Lexington, KY, 405360001.

What is Elizabeth Conner Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Elizabeth Conner Jackson is Pediatric Nephrology, and the taxonomy classification code that categorizes this area of expertise is 2080P0210X.

On what date did the Centers for Medicare & Medicaid Services assign the 1790705135 to Elizabeth Conner Jackson?

The Centers for Medicare & Medicaid Services assigned the 1790705135 to Elizabeth Conner Jackson on 2006-07-20.

When was the information regarding Elizabeth Conner Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Elizabeth Conner Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-10-31.

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