Kristy Hendricks Jackson in Marietta - Psychiatry
Kristy Hendricks Jackson - NPI 1043484645
Kristy Hendricks Jackson is a Psychiatry in Marietta, Georgia. Kristy Hendricks Jackson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kristy Hendricks Jackson is 1043484645. The last update date is 2019-10-15.
Kristy Hendricks Jackson's current location address is 2540 Windy Hill Rd Se, Marietta, Georgia. You can contact this provider via phone number 7706441570. The mailing address for Kristy Hendricks Jackson is 2540 Windy Hill Rd Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristy Hendricks Jackson |
|---|---|
| Address | 2540 Windy Hill Rd Se, Marietta, Georgia |
| Phone Number | 7706441570 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043484645 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2019-10-15 |
Provider Mailing Address Detail
| Address | 2540 Windy Hill Rd Se |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300678605 |
| Phone Number | 7706441570 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 60643 |
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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 provider identifier assigned to Kristy Hendricks Jackson?
The Kristy Hendricks Jackson has been issued the NPI (National Provider Identifier) 1043484645 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 physical location address of Kristy Hendricks Jackson?
The Kristy Hendricks Jackson is physically situated at 2540 Windy Hill Rd Se, in the city of Marietta, state of GA, with the postal code 300678605.
What is the Kristy Hendricks Jackson's specialty and taxonomy code?
The Kristy Hendricks Jackson's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Kristy Hendricks Jackson receive the assignment of its 1043484645 from the Centers for Medicare & Medicaid Services?
The Kristy Hendricks Jackson was issued its 1043484645 by the Centers for Medicare & Medicaid Services on 2008-04-15.
As of what date were the details related to Kristy Hendricks Jackson most recently updated or revised?
The information pertaining to Kristy Hendricks Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-15.