Brian Gene Jackson in La Jara - Physician Assistant
Brian Gene Jackson - NPI 1245261064
Brian Gene Jackson is a Physician Assistant in La Jara, Colorado. Brian Gene Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian Gene Jackson is 1245261064. The last update date is 2021-05-06.
Brian Gene Jackson's current location address is 19021 Us Highway 285, La Jara, Colorado. You can contact this provider via phone number 7193762308 and fax number 7192746065. The mailing address for Brian Gene Jackson is 19021 Us Highway 285, La Jara, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Gene Jackson |
|---|---|
| Address | 19021 Us Highway 285, La Jara, Colorado |
| Phone Number | 7193762308 |
| Fax Number | 7192746065 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1245261064 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2021-05-06 |
Provider Mailing Address Detail
| Address | 19021 Us Highway 285 |
|---|---|
| City | La Jara |
| State | Colorado (CO) |
| Post Code | 811409410 |
| Phone Number | 7193762308 |
| Fax Number | 7192746065 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 843 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7008436 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brian Gene Jackson by the Centers for Medicare & Medicaid Services?
The Brian Gene Jackson has been issued the NPI (National Provider Identifier) 1245261064, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Brian Gene Jackson is physically located?
The Brian Gene Jackson is situated at the following address: 19021 Us Highway 285, La Jara, CO 811409410.
What is Brian Gene Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brian Gene Jackson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did Brian Gene Jackson receive its 1245261064 assignment from the Centers for Medicare & Medicaid Services?
The Brian Gene Jackson was assigned its 1245261064 on 2006-07-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Brian Gene Jackson's information last updated?
The Brian Gene Jackson's information was last updated on 2021-05-06.