Lisa R. Jackson in Lake Barrington - Nurse Practitioner
Lisa R. Jackson - NPI 1316980766
Lisa R. Jackson is a Nurse Practitioner in Lake Barrington, Illinois. Lisa R. Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lisa R. Jackson is 1316980766. The last update date is 2017-03-09.
Lisa R. Jackson's current location address is 22285 N Pepper Rd, Lake Barrington, Illinois. You can contact this provider via phone number 8478826604 and fax number 8478826228. The mailing address for Lisa R. Jackson is 22285 N Pepper Rd, Lake Barrington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa R. Jackson |
|---|---|
| Address | 22285 N Pepper Rd, Lake Barrington, Illinois |
| Phone Number | 8478826604 |
| Fax Number | 8478826228 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1316980766 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2017-03-09 |
Provider Mailing Address Detail
| Address | 22285 N Pepper Rd |
|---|---|
| City | Lake Barrington |
| State | Illinois (IL) |
| Post Code | 600102538 |
| Phone Number | 8478826604 |
| Fax Number | 8478826228 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 309002626 |
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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 assigned to Lisa R. Jackson by the Centers for Medicare & Medicaid Services?
The Lisa R. Jackson has been issued the NPI (National Provider Identifier) 1316980766 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lisa R. Jackson is physically located?
The Lisa R. Jackson is physically situated at the following address: 22285 N Pepper Rd, Lake Barrington, IL, 600102538.
What is Lisa R. Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa R. Jackson's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316980766 to Lisa R. Jackson?
The Lisa R. Jackson received its 1316980766 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.
When was the information regarding Lisa R. Jackson most recently updated?
The details pertaining to the Lisa R. Jackson, including its address, specialty, and other relevant information, were last refreshed on 2017-03-09.
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