Beverly Jackson in Jacksonville - Nurse Practitioner
Beverly Jackson - NPI 1134254618
Beverly Jackson is a Nurse Practitioner in Jacksonville, Florida. Beverly Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Beverly Jackson is 1134254618. The last update date is 2008-10-15.
Beverly Jackson's current location address is 2065 Herschel St, Jacksonville, Florida. You can contact this provider via phone number 9043874050 and fax number 9043874860. The mailing address for Beverly Jackson is 2065 Herschel St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Jackson |
|---|---|
| Address | 2065 Herschel St, Jacksonville, Florida |
| Phone Number | 9043874050 |
| Fax Number | 9043874860 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1134254618 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2008-10-15 |
Provider Mailing Address Detail
| Address | 2065 Herschel St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322043817 |
| Phone Number | 9043874050 |
| Fax Number | 9043874860 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN9240628 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Beverly Jackson by the Centers for Medicare & Medicaid Services?
The Beverly Jackson has been assigned the NPI (National Provider Identifier) 1134254618 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Beverly Jackson is physically located?
The Beverly Jackson is physically situated at the following address: 2065 Herschel St, Jacksonville, FL, 322043817.
What is Beverly Jackson's area of expertise and its corresponding taxonomy classification?
The Beverly Jackson's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Beverly Jackson receive the assignment of its 1134254618 from the Centers for Medicare & Medicaid Services?
The Beverly Jackson was issued its 1134254618 by the Centers for Medicare & Medicaid Services on 2007-02-23.
When was the Beverly Jackson's information last updated?
The Beverly Jackson's information was last updated on 2008-10-15.