Valerie P Jackson in Indianapolis - Diagnostic Radiology
Valerie P Jackson - NPI 1477595478
Valerie P Jackson is a Diagnostic Radiology in Indianapolis, Indiana. Valerie P Jackson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Valerie P Jackson is 1477595478. The last update date is 2011-06-13.
Valerie P Jackson's current location address is 714 N Senate Ave, Indianapolis, Indiana. You can contact this provider via phone number 3177156402 and fax number 3177156415. The mailing address for Valerie P Jackson is 714 N Senate Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Valerie P Jackson |
|---|---|
| Address | 714 N Senate Ave, Indianapolis, Indiana |
| Phone Number | 3177156402 |
| Fax Number | 3177156415 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477595478 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2011-06-13 |
Provider Mailing Address Detail
| Address | 714 N Senate Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462023763 |
| Phone Number | 3177156402 |
| Fax Number | 3177156415 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 1028136 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100358070 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Valerie P Jackson by the Centers for Medicare & Medicaid Services?
The Valerie P Jackson has been issued the NPI (National Provider Identifier) 1477595478 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Valerie P Jackson?
The Valerie P Jackson is situated at 714 N Senate Ave, in the city of Indianapolis, state of IN, with the zip code 462023763.
What is Valerie P Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Valerie P Jackson's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477595478 to Valerie P Jackson?
The Valerie P Jackson received its 1477595478 assignment from the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date were the details related to Valerie P Jackson most recently updated or revised?
The information pertaining to Valerie P Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-13.
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