Cynthia L Jackson in Leavenworth - Family

Cynthia L Jackson - NPI 1427007269

Cynthia L Jackson is a Family in Leavenworth, Kansas. Cynthia L Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Cynthia L Jackson is 1427007269. The last update date is 2007-07-16.

Cynthia L Jackson's current location address is 4101 S 4th St, Leavenworth, Kansas. You can contact this provider via phone number 9136822000 and fax number 9137584119. The mailing address for Cynthia L Jackson is 4101 S 4th St, Leavenworth, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Cynthia L Jackson
Address 4101 S 4th St, Leavenworth, Kansas
Phone Number 9136822000
Fax Number 9137584119
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1427007269
Provider Enumeration Date 2006-05-09
Last Updated Date 2007-07-16

Provider Mailing Address Detail

Address 4101 S 4th St
City Leavenworth
State Kansas (KS)
Post Code 660485014
Phone Number 9136822000
Fax Number 9137584119

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 1346066122
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Cynthia L Jackson

What is the unique identifier code issued to Cynthia L Jackson by the Centers for Medicare & Medicaid Services?

The Cynthia L Jackson has been assigned the NPI (National Provider Identifier) 1427007269. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Cynthia L Jackson located?

The Cynthia L Jackson is located at 4101 S 4Th St, Leavenworth, KS 660485014.

What is the Cynthia L Jackson's specialty and taxonomy code?

The Cynthia L Jackson's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1427007269 to Cynthia L Jackson?

The Centers for Medicare & Medicaid Services assigned the 1427007269 to Cynthia L Jackson on 2006-05-09.

When was the information regarding Cynthia L Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Cynthia L Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-16.

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