Jeannie Jackson in Hattiesburg - Perfusionist
Jeannie Jackson - NPI 1730200734
Jeannie Jackson is a Perfusionist in Hattiesburg, Mississippi. Jeannie Jackson practices all healthcare services and medical treatments related to Perfusionist. The NPI Number for Jeannie Jackson is 1730200734. The last update date is 2009-03-27.
Jeannie Jackson's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685800 and fax number 6012613530. The mailing address for Jeannie Jackson is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannie Jackson |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012685800 |
| Fax Number | 6012613530 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1730200734 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2009-03-27 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6012685800 |
| Fax Number | 6012613530 |
Provider's Primary Taxonomy Detail
| Speciality | Perfusionist |
|---|---|
| Taxonomy | 242T00000X |
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Definition: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable |
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Post Comment/ Review Below
What is the unique identifier code issued to Jeannie Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Jeannie Jackson has been assigned the NPI (National Provider Identifier) 1730200734. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jeannie Jackson's facilities are situated?
The facilities of Jeannie Jackson are physically located at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is the Jeannie Jackson's area of specialization and corresponding taxonomy classification?
The Jeannie Jackson's specialty field is Perfusionist, and it falls under the taxonomy code 242T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jeannie Jackson receive its 1730200734 assignment from the Centers for Medicare & Medicaid Services?
The Jeannie Jackson was assigned its 1730200734 by the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the details pertaining to Jeannie Jackson last refreshed?
The information related to the Jeannie Jackson, including its address, specialty, and other relevant details, was last updated on 2009-03-27.