Susan M Jackson in Utica - Nurse Practitioner
Susan M Jackson - NPI 1699889949
Susan M Jackson is a Nurse Practitioner in Utica, New York. Susan M Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan M Jackson is 1699889949. The last update date is 2020-03-09.
Susan M Jackson's current location address is Po Box 8155, Utica, New York. You can contact this provider via phone number 3157360155 and fax number 3157320393. The mailing address for Susan M Jackson is Po Box 8155, Utica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Jackson |
|---|---|
| Address | Po Box 8155, Utica, New York |
| Phone Number | 3157360155 |
| Fax Number | 3157320393 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1699889949 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2020-03-09 |
Provider Mailing Address Detail
| Address | Po Box 8155 |
|---|---|
| City | Utica |
| State | New York (NY) |
| Post Code | 13505 |
| Phone Number | 3157360155 |
| Fax Number | 3157320393 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 332294 |
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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 |
|---|---|---|---|
| 1866164 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan M Jackson by the Centers for Medicare & Medicaid Services?
The Susan M Jackson has been issued the NPI (National Provider Identifier) 1699889949 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 Susan M Jackson is physically located?
The Susan M Jackson is physically situated at the following address: Po Box 8155, Utica, NY, 13505.
What is Susan M Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan M Jackson is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date was the 1699889949 assigned to Susan M Jackson?
The Susan M Jackson was issued its 1699889949 on 2006-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Susan M Jackson most recently updated or revised?
The information pertaining to Susan M Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2020-03-09.