Autumn A Jackson is a Medical in Falls Church, Virginia. Autumn A Jackson practices all healthcare services and medical treatments related to Medical. The NPI Number for Autumn A Jackson is 1689629099. The last update date is 2011-07-11.
Autumn A Jackson's current location address is 3300 Gallows Rd, Falls Church, Virginia. You can contact this provider via phone number 7037762690. The mailing address for Autumn A Jackson is 3300 Gallows Rd, Falls Church, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Autumn A Jackson |
|---|---|
| Address | 3300 Gallows Rd, Falls Church, Virginia |
| Phone Number | 7037762690 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MHS, PA-C |
NPI Number Detail
| NPI Number | 1689629099 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2011-07-11 |
Provider Mailing Address Detail
| Address | 3300 Gallows Rd |
|---|---|
| City | Falls Church |
| State | Virginia (VA) |
| Post Code | 220423307 |
| Phone Number | 7037762690 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | C0003077 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Autumn A Jackson by the Centers for Medicare & Medicaid Services?
The Autumn A Jackson has been assigned the NPI (National Provider Identifier) 1689629099. 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 address where Autumn A Jackson is geographically located?
The Autumn A Jackson is physically situated at the following location: 3300 Gallows Rd, Falls Church, VA, 220423307.
What is Autumn A 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 Autumn A Jackson is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689629099 to Autumn A Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1689629099 to Autumn A Jackson on 2006-05-23.
As of what date was the information regarding Autumn A Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Autumn A Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-07-11.