Edwin Jackson in St Petersburg - Child & Adolescent Psychiatry
Edwin Jackson - NPI 1740294883
Edwin Jackson is a Child & Adolescent Psychiatry in St Petersburg, Florida. Edwin Jackson practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Edwin Jackson is 1740294883. The last update date is 2011-10-10.
Edwin Jackson's current location address is 4024 Central Ave, St Petersburg, Florida. You can contact this provider via phone number 7273277656 and fax number 7273881192. The mailing address for Edwin Jackson is 4024 Central Ave, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Jackson |
|---|---|
| Address | 4024 Central Ave, St Petersburg, Florida |
| Phone Number | 7273277656 |
| Fax Number | 7273881192 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1740294883 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2011-10-10 |
Provider Mailing Address Detail
| Address | 4024 Central Ave |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337111239 |
| Phone Number | 7273277656 |
| Fax Number | 7273881192 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | ME 87406 |
|
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| F01714 | FL | FLORIDA HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edwin Jackson by the Centers for Medicare & Medicaid Services?
The Edwin Jackson has been issued the NPI (National Provider Identifier) 1740294883, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Edwin Jackson's physical address?
The Edwin Jackson is physically located at 4024 Central Ave, in the city of St Petersburg, FL, with the postal code 337111239.
What is Edwin Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Edwin Jackson is Child & Adolescent Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0804X.
On what date was the 1740294883 assigned to Edwin Jackson?
The Edwin Jackson was issued its 1740294883 on 2006-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Edwin Jackson most recently updated or revised?
The details related to Edwin Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-10.