Douglene J Jackson in Pembroke Pines - Technician, Other

Douglene J Jackson - NPI 1275655482

Douglene J Jackson is a Technician, Other in Pembroke Pines, Florida. Douglene J Jackson practices all healthcare services and medical treatments related to Technician, Other. The NPI Number for Douglene J Jackson is 1275655482. The last update date is 2019-09-06.

Douglene J Jackson's current location address is 240 Nw 207th Way, Pembroke Pines, Florida. You can contact this provider via phone number 6784723201. The mailing address for Douglene J Jackson is 240 Nw 207th Way, Pembroke Pines, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglene J Jackson
Address 240 Nw 207th Way, Pembroke Pines, Florida
Phone Number 6784723201
Fax Number
Sole Proprietor N
Credentials PHD, OTR/L

NPI Number Detail

NPI Number 1275655482
Provider Enumeration Date 2007-04-06
Last Updated Date 2019-09-06

Provider Mailing Address Detail

Address 240 Nw 207th Way
City Pembroke Pines
State Florida (FL)
Post Code 330293509
Phone Number 6784723201
Fax Number

Provider's Primary Taxonomy Detail

Speciality Technician, Other
Taxonomy 247200000X
Definition:
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the

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FAQs about Douglene J Jackson

What is the unique 10-digit identifier code assigned to Douglene J Jackson by the Centers for Medicare & Medicaid Services?

The Douglene J Jackson has been issued the NPI (National Provider Identifier) 1275655482 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Douglene J Jackson is geographically located?

The Douglene J Jackson is physically situated at the following location: 240 Nw 207Th Way, Pembroke Pines, FL, 330293509.

What is Douglene J Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Douglene J Jackson is Technician, Other, and the corresponding taxonomy classification code for this specialized field is 247200000X.

On what date was the 1275655482 assigned to Douglene J Jackson?

The Douglene J Jackson was issued its 1275655482 on 2007-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Douglene J Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglene J Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-09-06.

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