Latoya Jackson in Detroit - Physician Assistant
Latoya Jackson - NPI 1144340902
Latoya Jackson is a Physician Assistant in Detroit, Michigan. Latoya Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Latoya Jackson is 1144340902. The last update date is 2013-05-14.
Latoya Jackson's current location address is 6071 W Outer Dr Sgr, Detroit, Michigan. You can contact this provider via phone number 3139663300. The mailing address for Latoya Jackson is 6071 W Outer Dr Sgr, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Latoya Jackson |
---|---|
Address | 6071 W Outer Dr Sgr, Detroit, Michigan |
Phone Number | 3139663300 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1144340902 |
---|---|
Provider Enumeration Date | 2007-03-29 |
Last Updated Date | 2013-05-14 |
Provider Mailing Address Detail
Address | 6071 W Outer Dr Sgr |
---|---|
City | Detroit |
State | Michigan (MI) |
Post Code | 48235 |
Phone Number | 3139663300 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
---|---|
Taxonomy | 363A00000X |
Licence No | 5601004292 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
12237263 | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Latoya Jackson by the Centers for Medicare & Medicaid Services?
The Latoya Jackson has been assigned the NPI (National Provider Identifier) 1144340902. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Latoya Jackson's facilities are situated?
The facilities of Latoya Jackson are physically located at the following address: 6071 W Outer Dr Sgr, Detroit, MI, 48235.
What is Latoya Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Latoya Jackson is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Latoya Jackson receive its 1144340902 assignment from the Centers for Medicare & Medicaid Services?
The Latoya Jackson was assigned its 1144340902 by the Centers for Medicare & Medicaid Services on 2007-03-29.
When was the Latoya Jackson's information last updated?
The Latoya Jackson's information was last updated on 2013-05-14.