Stephanie Colleen Jackson in Cedar Rapids - Neurology
Stephanie Colleen Jackson - NPI 1013177872
Stephanie Colleen Jackson is a Neurology in Cedar Rapids, Iowa. Stephanie Colleen Jackson practices all healthcare services and medical treatments related to Neurology. The NPI Number for Stephanie Colleen Jackson is 1013177872. The last update date is 2023-04-02.
Stephanie Colleen Jackson's current location address is 275 10th St Se Ste 3320, Cedar Rapids, Iowa. You can contact this provider via phone number 3193981721. The mailing address for Stephanie Colleen Jackson is 275 10th St Se Ste 3320, Cedar Rapids, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Colleen Jackson |
|---|---|
| Address | 275 10th St Se Ste 3320, Cedar Rapids, Iowa |
| Phone Number | 3193981721 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013177872 |
|---|---|
| Provider Enumeration Date | 2008-06-13 |
| Last Updated Date | 2023-04-02 |
Provider Mailing Address Detail
| Address | 275 10th St Se Ste 3320 |
|---|---|
| City | Cedar Rapids |
| State | Iowa (IA) |
| Post Code | 524032450 |
| Phone Number | 3193981721 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 1252071 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14922 | NV | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Stephanie Colleen Jackson by the Centers for Medicare & Medicaid Services?
The Stephanie Colleen Jackson has been issued the NPI (National Provider Identifier) 1013177872. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stephanie Colleen Jackson's facilities are situated?
The facilities of Stephanie Colleen Jackson are physically located at the following address: 275 10Th St Se Ste 3320, Cedar Rapids, IA, 524032450.
What is the area of specialization for Stephanie Colleen Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephanie Colleen Jackson is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.
On what date did the Stephanie Colleen Jackson receive its 1013177872 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie Colleen Jackson was assigned its 1013177872 by the Centers for Medicare & Medicaid Services on 2008-06-13.
As of what date were the details related to Stephanie Colleen Jackson most recently updated or revised?
The information pertaining to Stephanie Colleen Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-02.
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