Richard Evan Jackson in Johnson City - Psychiatry
Richard Evan Jackson - NPI 1457359770
Richard Evan Jackson is a Psychiatry in Johnson City, Tennessee. Richard Evan Jackson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Richard Evan Jackson is 1457359770. The last update date is 2014-07-17.
Richard Evan Jackson's current location address is 106 Pinnacle Dr, Johnson City, Tennessee. You can contact this provider via phone number 4233287332 and fax number 4232071222. The mailing address for Richard Evan Jackson is 106 Pinnacle Dr, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Evan Jackson |
|---|---|
| Address | 106 Pinnacle Dr, Johnson City, Tennessee |
| Phone Number | 4233287332 |
| Fax Number | 4232071222 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457359770 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2014-07-17 |
Provider Mailing Address Detail
| Address | 106 Pinnacle Dr |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376156602 |
| Phone Number | 4233287332 |
| Fax Number | 4232071222 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 15545 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Richard Evan Jackson?
The Richard Evan Jackson has been issued the NPI (National Provider Identifier) 1457359770 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Richard Evan Jackson is physically located?
The Richard Evan Jackson is physically situated at the following address: 106 Pinnacle Dr, Johnson City, TN, 376156602.
What is Richard Evan Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Evan Jackson is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
When did the Richard Evan Jackson receive its 1457359770?
The Richard Evan Jackson was issued its 1457359770 on 2005-07-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Richard Evan Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard Evan Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-17.
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