Thomas E Jackson in Knoxville - Nurse Practitioner
Thomas E Jackson - NPI 1366416042
Thomas E Jackson is a Nurse Practitioner in Knoxville, Tennessee. Thomas E Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Thomas E Jackson is 1366416042. The last update date is 2007-07-08.
Thomas E Jackson's current location address is 2018 Western Ave, Knoxville, Tennessee. You can contact this provider via phone number 8655440406 and fax number 8655440480. The mailing address for Thomas E Jackson is 2018 Western Ave, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas E Jackson |
|---|---|
| Address | 2018 Western Ave, Knoxville, Tennessee |
| Phone Number | 8655440406 |
| Fax Number | 8655440480 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1366416042 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2018 Western Ave |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 37921 |
| Phone Number | 8655440406 |
| Fax Number | 8655440480 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN72732 |
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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 |
|---|---|---|---|
| 3642687 | TN | -- |
Post Comment/ Review Below
What is the Thomas E Jackson's 1366416042?
The Thomas E Jackson's NPI (National Provider Identifier) Number is 1366416042. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas E Jackson is geographically located?
The Thomas E Jackson is physically situated at the following location: 2018 Western Ave, Knoxville, TN, 37921.
What is the area of specialization for Thomas E Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas E Jackson is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366416042 to Thomas E Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1366416042 to Thomas E Jackson on 2006-02-17.
When was the Thomas E Jackson's information last updated?
The Thomas E Jackson's information was last updated on 2007-07-08.