Jaclyn Tennille Parker in San Diego - Surgery

Jaclyn Tennille Parker - NPI 1164683538

Jaclyn Tennille Parker is a Surgery in San Diego, California. Jaclyn Tennille Parker practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jaclyn Tennille Parker is 1164683538. The last update date is 2021-10-16.

Jaclyn Tennille Parker's current location address is 200 W Arbor Dr, San Diego, California. You can contact this provider via phone number 6195436222. The mailing address for Jaclyn Tennille Parker is 200 W Arbor Dr, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaclyn Tennille Parker
Address 200 W Arbor Dr, San Diego, California
Phone Number 6195436222
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1164683538
Provider Enumeration Date 2008-06-18
Last Updated Date 2021-10-16

Provider Mailing Address Detail

Address 200 W Arbor Dr
City San Diego
State California (CA)
Post Code 921039001
Phone Number 6195436222
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No A94852
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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FAQs about Jaclyn Tennille Parker

What is the unique 10-digit identifier code issued to Jaclyn Tennille Parker by the Centers for Medicare & Medicaid Services?

The Jaclyn Tennille Parker has been assigned the NPI (National Provider Identifier) 1164683538 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jaclyn Tennille Parker is physically located?

The Jaclyn Tennille Parker is physically situated at the following address: 200 W Arbor Dr, San Diego, CA, 921039001.

What is Jaclyn Tennille Parker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jaclyn Tennille Parker is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date was the 1164683538 assigned to Jaclyn Tennille Parker?

The Jaclyn Tennille Parker was issued its 1164683538 on 2008-06-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jaclyn Tennille Parker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jaclyn Tennille Parker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-16.

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