Lisa Lanette Jackson in Lewisville - Family
Lisa Lanette Jackson - NPI 1497828826
Lisa Lanette Jackson is a Family in Lewisville, Arkansas. Lisa Lanette Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Lisa Lanette Jackson is 1497828826. The last update date is 2015-05-29.
Lisa Lanette Jackson's current location address is 1117 Chestnut, Lewisville, Arkansas. You can contact this provider via phone number 8709215781 and fax number 8707984100. The mailing address for Lisa Lanette Jackson is 1117 Chestnut, Lewisville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Lanette Jackson |
|---|---|
| Address | 1117 Chestnut, Lewisville, Arkansas |
| Phone Number | 8709215781 |
| Fax Number | 8707984100 |
| Sole Proprietor | Y |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1497828826 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2015-05-29 |
Provider Mailing Address Detail
| Address | 1117 Chestnut |
|---|---|
| City | Lewisville |
| State | Arkansas (AR) |
| Post Code | 718451117 |
| Phone Number | 8709215781 |
| Fax Number | 8707984100 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | A02932 ANP |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202614758 | AR | -- |
Post Comment/ Review Below
What is the Lisa Lanette Jackson's unique identification number?
The Lisa Lanette Jackson has been assigned the NPI (National Provider Identifier) Number 1497828826 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lisa Lanette Jackson is located?
The Lisa Lanette Jackson is situated at the following address: 1117 Chestnut, Lewisville, AR, 718451117.
What is Lisa Lanette Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Lanette Jackson's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
When did the Lisa Lanette Jackson receive its 1497828826?
The Lisa Lanette Jackson was issued its 1497828826 on 2006-11-15, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Lisa Lanette Jackson most recently updated or revised?
The details related to Lisa Lanette Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2015-05-29.