Celeste M Jackson in Marshfield - Nurse Practitioner
Celeste M Jackson - NPI 1720180409
Celeste M Jackson is a Nurse Practitioner in Marshfield, Wisconsin. Celeste M Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Celeste M Jackson is 1720180409. The last update date is 2007-07-08.
Celeste M Jackson's current location address is 1000 N Oak Ave, Marshfield, Wisconsin. You can contact this provider via phone number 7153875602. The mailing address for Celeste M Jackson is 1000 N Oak Ave, Marshfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Celeste M Jackson |
|---|---|
| Address | 1000 N Oak Ave, Marshfield, Wisconsin |
| Phone Number | 7153875602 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1720180409 |
|---|---|
| Provider Enumeration Date | 2006-09-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1000 N Oak Ave |
|---|---|
| City | Marshfield |
| State | Wisconsin (WI) |
| Post Code | 544495777 |
| Phone Number | 7153875602 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2248 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43992000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Celeste M Jackson by the Centers for Medicare & Medicaid Services?
The Celeste M Jackson has been issued the NPI (National Provider Identifier) 1720180409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Celeste M Jackson's physical address?
The Celeste M Jackson is physically located at 1000 N Oak Ave, in the city of Marshfield, WI, with the postal code 544495777.
What is Celeste M Jackson's area of expertise and its corresponding taxonomy classification?
The Celeste M Jackson's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1720180409 to Celeste M Jackson?
The Celeste M Jackson received its 1720180409 assignment from the Centers for Medicare & Medicaid Services on 2006-09-02.
As of what date were the Celeste M Jackson's details last updated?
The information pertaining to the Celeste M Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA