Dejuana Cherise Jackson in Ann Arbor - Nurse Practitioner
Dejuana Cherise Jackson - NPI 1568548436
Dejuana Cherise Jackson is a Nurse Practitioner in Ann Arbor, Michigan. Dejuana Cherise Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Dejuana Cherise Jackson is 1568548436. The last update date is 2009-10-19.
Dejuana Cherise Jackson's current location address is 1500 East Medical Center Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7349369015. The mailing address for Dejuana Cherise Jackson is 1500 East Medical Center Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dejuana Cherise Jackson |
|---|---|
| Address | 1500 East Medical Center Dr, Ann Arbor, Michigan |
| Phone Number | 7349369015 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1568548436 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2009-10-19 |
Provider Mailing Address Detail
| Address | 1500 East Medical Center Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481090912 |
| Phone Number | 7349369015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704239536 |
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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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What is the Dejuana Cherise Jackson's 1568548436?
The Dejuana Cherise Jackson's NPI (National Provider Identifier) Number is 1568548436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dejuana Cherise Jackson?
The Dejuana Cherise Jackson is physically situated at 1500 East Medical Center Dr, in the city of Ann Arbor, state of MI, with the postal code 481090912.
What is Dejuana Cherise Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dejuana Cherise Jackson's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When did the Dejuana Cherise Jackson receive its 1568548436?
The Dejuana Cherise Jackson was issued its 1568548436 on 2006-10-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Dejuana Cherise Jackson most recently updated or revised?
The information pertaining to Dejuana Cherise Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2009-10-19.