David Ray Jackson is a Family in Quitman, Georgia. David Ray Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for David Ray Jackson is 1215079983. The last update date is 2009-03-30.
David Ray Jackson's current location address is Po Box 845, Quitman, Georgia. You can contact this provider via phone number 2292638888 and fax number 2292636528. The mailing address for David Ray Jackson is Po Box 845, Quitman, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Ray Jackson |
|---|---|
| Address | Po Box 845, Quitman, Georgia |
| Phone Number | 2292638888 |
| Fax Number | 2292636528 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1215079983 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2009-03-30 |
Provider Mailing Address Detail
| Address | Po Box 845 |
|---|---|
| City | Quitman |
| State | Georgia (GA) |
| Post Code | 316430845 |
| Phone Number | 2292638888 |
| Fax Number | 2292636528 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN154383 |
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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 |
|---|---|---|---|
| 52875375 | GA | BCBS | |
| 000921137C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Ray Jackson by the Centers for Medicare & Medicaid Services?
The David Ray Jackson has been assigned the NPI (National Provider Identifier) 1215079983. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David Ray Jackson?
The David Ray Jackson is situated at Po Box 845, in the city of Quitman, state of GA, with the zip code 316430845.
What is David Ray Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Ray Jackson is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215079983 to David Ray Jackson?
The David Ray Jackson received its 1215079983 assignment from the Centers for Medicare & Medicaid Services on 2007-02-12.
When was the David Ray Jackson's information last updated?
The David Ray Jackson's information was last updated on 2009-03-30.