Peggy Jackson is a Family in Tampa, Florida. Peggy Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Peggy Jackson is 1245389063. The last update date is 2014-05-23.
Peggy Jackson's current location address is 9009 Corporate Lake Dr, Tampa, Florida. You can contact this provider via phone number 8138907810 and fax number 8553123643. The mailing address for Peggy Jackson is 9009 Corporate Lake Dr, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Jackson |
|---|---|
| Address | 9009 Corporate Lake Dr, Tampa, Florida |
| Phone Number | 8138907810 |
| Fax Number | 8553123643 |
| Sole Proprietor | N |
| Credentials | ARNP-BC, N |
NPI Number Detail
| NPI Number | 1245389063 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2014-05-23 |
Provider Mailing Address Detail
| Address | 9009 Corporate Lake Dr |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336342367 |
| Phone Number | 8138907810 |
| Fax Number | 8553123643 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP 9212215 |
|
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 |
|---|---|---|---|
| 1245389063 | FL | NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peggy Jackson by the Centers for Medicare & Medicaid Services?
The Peggy Jackson has been issued the NPI (National Provider Identifier) 1245389063, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Peggy Jackson is located?
The Peggy Jackson is situated at the following address: 9009 Corporate Lake Dr, Tampa, FL, 336342367.
What is Peggy Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peggy Jackson is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
When did Peggy Jackson receive its 1245389063 assignment?
The Peggy Jackson was assigned its 1245389063 on 2007-01-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Peggy Jackson most recently updated or revised?
The information pertaining to Peggy Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-23.