La'Shawnta Jackson in Sun City - Physician Assistant
La'Shawnta Jackson - NPI 1366645897
La'Shawnta Jackson is a Physician Assistant in Sun City, California. La'Shawnta Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for La'Shawnta Jackson is 1366645897. The last update date is 2007-07-08.
La'Shawnta Jackson's current location address is 26960 Cherry Hills Blvd, Sun City, California. You can contact this provider via phone number 9513017615 and fax number 9513017616. The mailing address for La'Shawnta Jackson is 26960 Cherry Hills Blvd, Sun City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | La'Shawnta Jackson |
|---|---|
| Address | 26960 Cherry Hills Blvd, Sun City, California |
| Phone Number | 9513017615 |
| Fax Number | 9513017616 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1366645897 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26960 Cherry Hills Blvd |
|---|---|
| City | Sun City |
| State | California (CA) |
| Post Code | 925862512 |
| Phone Number | 9513017615 |
| Fax Number | 9513017616 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 16119 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the La'Shawnta Jackson's unique identification number?
The La'Shawnta Jackson has been assigned the NPI (National Provider Identifier) Number 1366645897 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where La'Shawnta Jackson is physically located?
The La'Shawnta Jackson is situated at the following address: 26960 Cherry Hills Blvd, Sun City, CA 925862512.
What is the La'Shawnta Jackson's area of specialization and corresponding taxonomy classification?
The La'Shawnta Jackson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did La'Shawnta Jackson receive its 1366645897 assignment from the Centers for Medicare & Medicaid Services?
The La'Shawnta Jackson was assigned its 1366645897 on 2007-06-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the La'Shawnta Jackson's details last updated?
The information pertaining to the La'Shawnta Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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