Johnna L Jackson in Lake City - Nurse Practitioner
Johnna L Jackson - NPI 1639179435
Johnna L Jackson is a Nurse Practitioner in Lake City, Florida. Johnna L Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Johnna L Jackson is 1639179435. The last update date is 2009-05-15.
Johnna L Jackson's current location address is 1847 Sw Barnett Way, Lake City, Florida. You can contact this provider via phone number 3867552240 and fax number 3867556598. The mailing address for Johnna L Jackson is 1847 Sw Barnett Way, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johnna L Jackson |
|---|---|
| Address | 1847 Sw Barnett Way, Lake City, Florida |
| Phone Number | 3867552240 |
| Fax Number | 3867556598 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1639179435 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2009-05-15 |
Provider Mailing Address Detail
| Address | 1847 Sw Barnett Way |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 32025 |
| Phone Number | 3867552240 |
| Fax Number | 3867556598 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | ARNP2552432 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 301881400 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Johnna L Jackson by the Centers for Medicare & Medicaid Services?
The Johnna L Jackson has been assigned the NPI (National Provider Identifier) 1639179435. 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 provide the complete physical location address of Johnna L Jackson?
The Johnna L Jackson is physically situated at 1847 Sw Barnett Way, in the city of Lake City, state of FL, with the postal code 32025.
What is Johnna L Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Johnna L Jackson's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639179435 to Johnna L Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1639179435 to Johnna L Jackson on 2005-07-22.
As of what date was the information pertaining to Johnna L Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Johnna L Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-05-15.