Tracy P Jackson in Walnut Creek - Addiction Medicine
Tracy P Jackson - NPI 1154436590
Tracy P Jackson is a Addiction Medicine in Walnut Creek, California. Tracy P Jackson practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Tracy P Jackson is 1154436590. The last update date is 2022-10-10.
Tracy P Jackson's current location address is 2960 Camino Diablo Ste 105, Walnut Creek, California. You can contact this provider via phone number 8008922695. The mailing address for Tracy P Jackson is 2960 Camino Diablo Ste 105, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy P Jackson |
|---|---|
| Address | 2960 Camino Diablo Ste 105, Walnut Creek, California |
| Phone Number | 8008922695 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154436590 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2022-10-10 |
Provider Mailing Address Detail
| Address | 2960 Camino Diablo Ste 105 |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945973945 |
| Phone Number | 8008922695 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | 42636 |
|
Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tracy P Jackson by the Centers for Medicare & Medicaid Services?
The Tracy P Jackson has been assigned the NPI (National Provider Identifier) 1154436590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Tracy P Jackson is geographically located?
The Tracy P Jackson is physically situated at the following location: 2960 Camino Diablo Ste 105, Walnut Creek, CA, 945973945.
What is Tracy P Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy P Jackson's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2083A0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154436590 to Tracy P Jackson?
The Tracy P Jackson received its 1154436590 assignment from the Centers for Medicare & Medicaid Services on 2006-08-19.
As of what date was the information pertaining to Tracy P Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracy P Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-10.
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