Avril Joan Jackson-Black in Braintree - Nurse Practitioner
Avril Joan Jackson-Black - NPI 1336172360
Avril Joan Jackson-Black is a Nurse Practitioner in Braintree, Massachusetts. Avril Joan Jackson-Black practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Avril Joan Jackson-Black is 1336172360. The last update date is 2017-04-13.
Avril Joan Jackson-Black's current location address is 140 Wood Rd, Braintree, Massachusetts. You can contact this provider via phone number 7818841539 and fax number 8007080401. The mailing address for Avril Joan Jackson-Black is 140 Wood Rd, Braintree, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Avril Joan Jackson-Black |
|---|---|
| Address | 140 Wood Rd, Braintree, Massachusetts |
| Phone Number | 7818841539 |
| Fax Number | 8007080401 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1336172360 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2017-04-13 |
Provider Mailing Address Detail
| Address | 140 Wood Rd |
|---|---|
| City | Braintree |
| State | Massachusetts (MA) |
| Post Code | 21842508 |
| Phone Number | 7818841539 |
| Fax Number | 8007080401 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 184437 |
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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 |
|---|---|---|---|
| 706876 | MA | -- |
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What is the unique 10-digit identification code issued to Avril Joan Jackson-Black by the Centers for Medicare & Medicaid Services?
The Avril Joan Jackson-Black has been assigned the NPI (National Provider Identifier) 1336172360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Avril Joan Jackson-Black's physical address?
The Avril Joan Jackson-Black is physically located at 140 Wood Rd, in the city of Braintree, MA, with the postal code 21842508.
What is the Avril Joan Jackson-Black's area of specialization and corresponding taxonomy classification?
The Avril Joan Jackson-Black's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1336172360 to Avril Joan Jackson-Black?
The Avril Joan Jackson-Black received its 1336172360 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the Avril Joan Jackson-Black's information last updated?
The Avril Joan Jackson-Black's information was last updated on 2017-04-13.