Tracy Letia Jackson in New York - Physician Assistant
Tracy Letia Jackson - NPI 1154461283
Tracy Letia Jackson is a Physician Assistant in New York, New York. Tracy Letia Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracy Letia Jackson is 1154461283. The last update date is 2018-11-19.
Tracy Letia Jackson's current location address is 215 W 125th St, New York, New York. You can contact this provider via phone number 2129393566. The mailing address for Tracy Letia Jackson is 215 W 125th St, New York, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Letia Jackson |
|---|---|
| Address | 215 W 125th St, New York, New York |
| Phone Number | 2129393566 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1154461283 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2018-11-19 |
Provider Mailing Address Detail
| Address | 215 W 125th St |
|---|---|
| City | New York |
| State | New York (NY) |
| Post Code | 100274426 |
| Phone Number | 2129393566 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 006032-1 |
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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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Post Comment/ Review Below
What is the Tracy Letia Jackson's 1154461283?
The Tracy Letia Jackson's NPI (National Provider Identifier) Number is 1154461283. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tracy Letia Jackson is physically located?
The Tracy Letia Jackson is situated at the following address: 215 W 125Th St, New York, NY 100274426.
What is Tracy Letia Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy Letia Jackson is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
When did Tracy Letia Jackson receive its 1154461283 assignment?
The Tracy Letia Jackson was assigned its 1154461283 on 2007-02-07, which is the date when this unique identifier was issued to the organization.
As of what date were the Tracy Letia Jackson's details last updated?
The information pertaining to the Tracy Letia Jackson, including its address, specialty, and other details, was most recently updated on 2018-11-19.
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