Alice Jackson is a Nurse Practitioner in Fresno, California. Alice Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Alice Jackson is 1295754109. The last update date is 2007-12-14.
Alice Jackson's current location address is Po Box 28947, Fresno, California. You can contact this provider via phone number 5592285448 and fax number 5592243920. The mailing address for Alice Jackson is Po Box 28947, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Jackson |
|---|---|
| Address | Po Box 28947, Fresno, California |
| Phone Number | 5592285448 |
| Fax Number | 5592243920 |
| Sole Proprietor | N |
| Credentials | RN NP |
NPI Number Detail
| NPI Number | 1295754109 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-12-14 |
Provider Mailing Address Detail
| Address | Po Box 28947 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937298947 |
| Phone Number | 5592285448 |
| Fax Number | 5592243920 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 358153 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Alice Jackson by the Centers for Medicare & Medicaid Services?
The Alice Jackson has been assigned the NPI (National Provider Identifier) 1295754109 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Alice Jackson located?
The Alice Jackson is located at Po Box 28947, Fresno, CA 937298947.
What is the Alice Jackson's specialty and taxonomy code?
The Alice Jackson's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295754109 to Alice Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1295754109 to Alice Jackson on 2006-07-19.
When was the Alice Jackson's information last updated?
The Alice Jackson's information was last updated on 2007-12-14.
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