Teresa A Jackson is a Family in Miami Gardens, Florida. Teresa A Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Teresa A Jackson is 1528160181. The last update date is 2016-09-15.
Teresa A Jackson's current location address is 4692 Nw 183rd St, Miami Gardens, Florida. You can contact this provider via phone number 3056376400 and fax number 3056230998. The mailing address for Teresa A Jackson is 4692 Nw 183rd St, Miami Gardens, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa A Jackson |
|---|---|
| Address | 4692 Nw 183rd St, Miami Gardens, Florida |
| Phone Number | 3056376400 |
| Fax Number | 3056230998 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1528160181 |
|---|---|
| Provider Enumeration Date | 2006-09-03 |
| Last Updated Date | 2016-09-15 |
Provider Mailing Address Detail
| Address | 4692 Nw 183rd St |
|---|---|
| City | Miami Gardens |
| State | Florida (FL) |
| Post Code | 330553054 |
| Phone Number | 3056376400 |
| Fax Number | 3056230998 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2904542 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 303067900 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Teresa A Jackson by the Centers for Medicare & Medicaid Services?
The Teresa A Jackson has been assigned the NPI (National Provider Identifier) 1528160181. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Teresa A Jackson is located?
The Teresa A Jackson is situated at the following address: 4692 Nw 183Rd St, Miami Gardens, FL, 330553054.
What is the Teresa A Jackson's area of specialization and corresponding taxonomy classification?
The Teresa A Jackson's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1528160181 to Teresa A Jackson?
The Teresa A Jackson received its 1528160181 assignment from the Centers for Medicare & Medicaid Services on 2006-09-03.
When was the information related to Teresa A Jackson most recently updated or refreshed?
The details pertaining to the Teresa A Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-09-15.