Deborah Jackson is a Adult Health in Columbia, Maryland. Deborah Jackson practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Deborah Jackson is 1356436273. The last update date is 2008-12-01.
Deborah Jackson's current location address is 8875 Centre Park Dr, Columbia, Maryland. You can contact this provider via phone number 4107301000 and fax number 4107308615. The mailing address for Deborah Jackson is 8875 Centre Park Dr, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah Jackson |
|---|---|
| Address | 8875 Centre Park Dr, Columbia, Maryland |
| Phone Number | 4107301000 |
| Fax Number | 4107308615 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1356436273 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2008-12-01 |
Provider Mailing Address Detail
| Address | 8875 Centre Park Dr |
|---|---|
| City | Columbia |
| State | Maryland (MD) |
| Post Code | 210452114 |
| Phone Number | 4107301000 |
| Fax Number | 4107308615 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | R048240 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 63697401 | MD | BLUE SHIELD | |
| C4280003 | DC | BLUE SHIELD |
Post Comment/ Review Below
What is the Deborah Jackson's 1356436273?
The Deborah Jackson's NPI (National Provider Identifier) Number is 1356436273. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Deborah Jackson's facilities are geographically located?
The facilities of Deborah Jackson are physically situated at the following location: 8875 Centre Park Dr, Columbia, MD, 210452114.
What is Deborah Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Deborah Jackson is Adult Health, and the taxonomy code that classifies this field of practice is 363La2200X.
When did Deborah Jackson receive its 1356436273 assignment?
The Deborah Jackson was assigned its 1356436273 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Deborah Jackson most recently updated or revised?
The information pertaining to Deborah Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-01.
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