Nancy Jackson in Augusta - Nurse Practitioner

Nancy Jackson - NPI 1487615191

Nancy Jackson is a Nurse Practitioner in Augusta, Georgia. Nancy Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Nancy Jackson is 1487615191. The last update date is 2007-07-08.

Nancy Jackson's current location address is 1115 Garredd Blvd, Augusta, Georgia. You can contact this provider via phone number 7068549416 and fax number 7068638523. The mailing address for Nancy Jackson is 1115 Garredd Blvd, Augusta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Nancy Jackson
Address 1115 Garredd Blvd, Augusta, Georgia
Phone Number 7068549416
Fax Number 7068638523
Sole Proprietor X
Credentials RN PNP

NPI Number Detail

NPI Number 1487615191
Provider Enumeration Date 2006-03-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1115 Garredd Blvd
City Augusta
State Georgia (GA)
Post Code 30909
Phone Number 7068549416
Fax Number 7068638523

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R110128
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00876939A GA --

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FAQs about Nancy Jackson

What is the unique 10-digit identification code issued to Nancy Jackson by the Centers for Medicare & Medicaid Services?

The Nancy Jackson has been assigned the NPI (National Provider Identifier) 1487615191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Nancy Jackson is physically located?

The Nancy Jackson is situated at the following address: 1115 Garredd Blvd, Augusta, GA 30909.

What is Nancy Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nancy Jackson is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.

When did Nancy Jackson receive its 1487615191 assignment?

The Nancy Jackson was assigned its 1487615191 on 2006-03-31, which is the date when this unique identifier was issued to the organization.

When was the information regarding Nancy Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Nancy Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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