Tiffany Jackson in Raleigh - Speech-language Pathologist
Tiffany Jackson - NPI 1942489034
Tiffany Jackson is a Speech-language Pathologist in Raleigh, North Carolina. Tiffany Jackson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Tiffany Jackson is 1942489034. The last update date is 2009-09-30.
Tiffany Jackson's current location address is 100 Monie Ln, Raleigh, North Carolina. You can contact this provider via phone number 9198211822 and fax number 9198217779. The mailing address for Tiffany Jackson is 100 Monie Ln, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tiffany Jackson |
|---|---|
| Address | 100 Monie Ln, Raleigh, North Carolina |
| Phone Number | 9198211822 |
| Fax Number | 9198217779 |
| Sole Proprietor | Y |
| Credentials | M.ED., CCC |
NPI Number Detail
| NPI Number | 1942489034 |
|---|---|
| Provider Enumeration Date | 2007-10-25 |
| Last Updated Date | 2009-09-30 |
Provider Mailing Address Detail
| Address | 100 Monie Ln |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276011560 |
| Phone Number | 9198211822 |
| Fax Number | 9198217779 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 5174 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7411661 | NC | -- | |
| 130AT | NC | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tiffany Jackson?
The Tiffany Jackson has been issued the NPI (National Provider Identifier) 1942489034 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tiffany Jackson's facilities are situated?
The facilities of Tiffany Jackson are physically located at the following address: 100 Monie Ln, Raleigh, NC, 276011560.
What is the Tiffany Jackson's area of specialization and corresponding taxonomy classification?
The Tiffany Jackson's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When did Tiffany Jackson receive its 1942489034 assignment?
The Tiffany Jackson was assigned its 1942489034 on 2007-10-25, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Tiffany Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tiffany Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-30.
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