Gregory Lee Jackson in Lexington - Athletic Trainer

Gregory Lee Jackson - NPI 1356306203

Gregory Lee Jackson is a Athletic Trainer in Lexington, Kentucky. Gregory Lee Jackson practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gregory Lee Jackson is 1356306203. The last update date is 2007-07-08.

Gregory Lee Jackson's current location address is 3821 Everetts Dl, Lexington, Kentucky. You can contact this provider via phone number 8593516789. The mailing address for Gregory Lee Jackson is 3821 Everetts Dl, Lexington, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Lee Jackson
Address 3821 Everetts Dl, Lexington, Kentucky
Phone Number 8593516789
Fax Number
Sole Proprietor N
Credentials MS, ATC

NPI Number Detail

NPI Number 1356306203
Provider Enumeration Date 2006-04-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3821 Everetts Dl
City Lexington
State Kentucky (KY)
Post Code 405141185
Phone Number 8593516789
Fax Number

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

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FAQs about Gregory Lee Jackson

What is the unique 10-digit identification code issued to Gregory Lee Jackson by the Centers for Medicare & Medicaid Services?

The Gregory Lee Jackson has been assigned the NPI (National Provider Identifier) 1356306203 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Gregory Lee Jackson is physically located?

The Gregory Lee Jackson is situated at the following address: 3821 Everetts Dl, Lexington, KY 405141185.

What is the Gregory Lee Jackson's specialty and taxonomy code?

The Gregory Lee Jackson's specialty is Athletic Trainer, and the corresponding taxonomy code is 2255A2300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1356306203 to Gregory Lee Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1356306203 to Gregory Lee Jackson on 2006-04-20.

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

The information related to Gregory Lee Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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