Tina Louise Jackson in Oak Ridge - Psychiatry
Tina Louise Jackson - NPI 1801015821
Tina Louise Jackson is a Psychiatry in Oak Ridge, Tennessee. Tina Louise Jackson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Tina Louise Jackson is 1801015821. The last update date is 2021-05-14.
Tina Louise Jackson's current location address is 240 W Tyrone Rd Rm 714, Oak Ridge, Tennessee. You can contact this provider via phone number 8654821076. The mailing address for Tina Louise Jackson is 240 W Tyrone Rd Rm 714, Oak Ridge, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Louise Jackson |
|---|---|
| Address | 240 W Tyrone Rd Rm 714, Oak Ridge, Tennessee |
| Phone Number | 8654821076 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801015821 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2021-05-14 |
Provider Mailing Address Detail
| Address | 240 W Tyrone Rd Rm 714 |
|---|---|
| City | Oak Ridge |
| State | Tennessee (TN) |
| Post Code | 378306517 |
| Phone Number | 8654821076 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 61207 |
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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 Tina Louise Jackson's 1801015821?
The Tina Louise Jackson's NPI (National Provider Identifier) Number is 1801015821. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tina Louise Jackson's facilities are geographically located?
The facilities of Tina Louise Jackson are physically situated at the following location: 240 W Tyrone Rd Rm 714, Oak Ridge, TN, 378306517.
What is the Tina Louise Jackson's specialty and taxonomy code?
The Tina Louise Jackson's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did Tina Louise Jackson receive its 1801015821 assignment from the Centers for Medicare & Medicaid Services?
The Tina Louise Jackson was assigned its 1801015821 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tina Louise Jackson's details last updated?
The information pertaining to the Tina Louise Jackson, including its address, specialty, and other details, was most recently updated on 2021-05-14.
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