Johnna Michelle Jackson in South Charleston - Surgery
Johnna Michelle Jackson - NPI 1255537999
Johnna Michelle Jackson is a Surgery in South Charleston, . Johnna Michelle Jackson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Johnna Michelle Jackson is 1255537999. The last update date is 2021-12-23.
Johnna Michelle Jackson's current location address is 500 Poplar St, South Charleston, . You can contact this provider via phone number 3047677770 and fax number 3047677779. The mailing address for Johnna Michelle Jackson is 500 Poplar St, South Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnna Michelle Jackson |
|---|---|
| Address | 500 Poplar St, South Charleston, |
| Phone Number | 3047677770 |
| Fax Number | 3047677779 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1255537999 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2021-12-23 |
Provider Mailing Address Detail
| Address | 500 Poplar St |
|---|---|
| City | South Charleston |
| State | (WV) |
| Post Code | 253091474 |
| Phone Number | 3047677770 |
| Fax Number | 3047677779 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 1998 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Johnna Michelle Jackson by the Centers for Medicare & Medicaid Services?
The Johnna Michelle Jackson has been issued the NPI (National Provider Identifier) 1255537999, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Johnna Michelle Jackson is located?
The Johnna Michelle Jackson is situated at the following address: 500 Poplar St, South Charleston, WV, 253091474.
What is the Johnna Michelle Jackson's area of specialization and corresponding taxonomy classification?
The Johnna Michelle Jackson's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date was the 1255537999 assigned to Johnna Michelle Jackson?
The Johnna Michelle Jackson was issued its 1255537999 on 2007-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Johnna Michelle Jackson's details last updated?
The information pertaining to the Johnna Michelle Jackson, including its address, specialty, and other details, was most recently updated on 2021-12-23.