Jon Gustaf Jackson in Santa Rosa - Psychiatry
Jon Gustaf Jackson - NPI 1598840472
Jon Gustaf Jackson is a Psychiatry in Santa Rosa, California. Jon Gustaf Jackson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jon Gustaf Jackson is 1598840472. The last update date is 2011-12-27.
Jon Gustaf Jackson's current location address is 1335 North Dutton Ave, Santa Rosa, California. You can contact this provider via phone number 7075798703 and fax number 7075798755. The mailing address for Jon Gustaf Jackson is 1335 North Dutton Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Gustaf Jackson |
|---|---|
| Address | 1335 North Dutton Ave, Santa Rosa, California |
| Phone Number | 7075798703 |
| Fax Number | 7075798755 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598840472 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2011-12-27 |
Provider Mailing Address Detail
| Address | 1335 North Dutton Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95401 |
| Phone Number | 7075798703 |
| Fax Number | 7075798755 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | G61427 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code issued to Jon Gustaf Jackson by the Centers for Medicare & Medicaid Services?
The Jon Gustaf Jackson has been assigned the NPI (National Provider Identifier) 1598840472 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jon Gustaf Jackson is geographically located?
The Jon Gustaf Jackson is physically situated at the following location: 1335 North Dutton Ave, Santa Rosa, CA, 95401.
What is Jon Gustaf Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jon Gustaf Jackson's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
When did the Jon Gustaf Jackson receive its 1598840472?
The Jon Gustaf Jackson was issued its 1598840472 on 2006-10-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Jon Gustaf Jackson most recently updated or revised?
The information pertaining to Jon Gustaf Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-27.