Jessica Jackson is a Podiatrist in Louisville, Kentucky. Jessica Jackson practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jessica Jackson is 1912947631. The last update date is 2021-03-04.
Jessica Jackson's current location address is 15014 Bircham Rd, Louisville, Kentucky. You can contact this provider via phone number 5025580194. The mailing address for Jessica Jackson is 15014 Bircham Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Jackson |
|---|---|
| Address | 15014 Bircham Rd, Louisville, Kentucky |
| Phone Number | 5025580194 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1912947631 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2021-03-04 |
Provider Mailing Address Detail
| Address | 15014 Bircham Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402454104 |
| Phone Number | 5025580194 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 242 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80002421 | KY | -- | |
| 200279930 | IN | -- | |
| P00696482 | KY | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Jessica Jackson by the Centers for Medicare & Medicaid Services?
The Jessica Jackson has been assigned the NPI (National Provider Identifier) 1912947631. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jessica Jackson's facilities are situated?
The facilities of Jessica Jackson are physically located at the following address: 15014 Bircham Rd, Louisville, KY, 402454104.
What is Jessica Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Jackson's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
What is Jessica Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Jackson is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Jessica Jackson receive the assignment of its 1912947631 from the Centers for Medicare & Medicaid Services?
The Jessica Jackson was issued its 1912947631 by the Centers for Medicare & Medicaid Services on 2006-06-08.