Alissa Honghiran Jackson in Little Rock - Cardiopulmonary
Alissa Honghiran Jackson - NPI 1871613604
Alissa Honghiran Jackson is a Cardiopulmonary in Little Rock, Arkansas. Alissa Honghiran Jackson practices all healthcare services and medical treatments related to Cardiopulmonary. The NPI Number for Alissa Honghiran Jackson is 1871613604. The last update date is 2007-09-07.
Alissa Honghiran Jackson's current location address is 32 Reynard Estates Drive, Little Rock, Arkansas. You can contact this provider via phone number 5016646630 and fax number 5016646630. The mailing address for Alissa Honghiran Jackson is 32 Reynard Estates Drive, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alissa Honghiran Jackson |
|---|---|
| Address | 32 Reynard Estates Drive, Little Rock, Arkansas |
| Phone Number | 5016646630 |
| Fax Number | 5016646630 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1871613604 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 32 Reynard Estates Drive |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 72210 |
| Phone Number | 5016646630 |
| Fax Number | 5016646630 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiopulmonary |
|---|---|
| Taxonomy | 2251C2600X |
| Licence No | PT2618 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Cardiovascular & Pulmonary Physical Therapy, who has demonstrated specialized knowledge and skill in cardiovascular and pulmonary anatomy |
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What is the unique identification code assigned to Alissa Honghiran Jackson by the Centers for Medicare & Medicaid Services?
The Alissa Honghiran Jackson has been issued the NPI (National Provider Identifier) 1871613604. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Alissa Honghiran Jackson is physically located?
The Alissa Honghiran Jackson is situated at the following address: 32 Reynard Estates Drive, Little Rock, AR 72210.
What is Alissa Honghiran Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alissa Honghiran Jackson's area of specialization is Cardiopulmonary, and the corresponding taxonomy code that categorizes this field of practice is 2251C2600X.
On what date did the Alissa Honghiran Jackson receive its 1871613604 assignment from the Centers for Medicare & Medicaid Services?
The Alissa Honghiran Jackson was assigned its 1871613604 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date were the details related to Alissa Honghiran Jackson most recently updated or revised?
The information pertaining to Alissa Honghiran Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-07.