Elizabeth A Jacox in Saint Paul - Family

Elizabeth A Jacox - NPI 1063673663

Elizabeth A Jacox is a Family in Saint Paul, Minnesota. Elizabeth A Jacox practices all healthcare services and medical treatments related to Family. The NPI Number for Elizabeth A Jacox is 1063673663. The last update date is 2008-06-17.

Elizabeth A Jacox's current location address is 355 Marshall Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6512653459 and fax number 6512279813. The mailing address for Elizabeth A Jacox is 355 Marshall Ave, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth A Jacox
Address 355 Marshall Ave, Saint Paul, Minnesota
Phone Number 6512653459
Fax Number 6512279813
Sole Proprietor Y
Credentials FNP-BC

NPI Number Detail

NPI Number 1063673663
Provider Enumeration Date 2008-06-17
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 355 Marshall Ave
City Saint Paul
State Minnesota (MN)
Post Code 551021809
Phone Number 6512653459
Fax Number 6512279813

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R 161746-3
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Elizabeth A Jacox

What is the unique 10-digit identifier code issued to Elizabeth A Jacox by the Centers for Medicare & Medicaid Services?

The Elizabeth A Jacox has been assigned the NPI (National Provider Identifier) 1063673663 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Elizabeth A Jacox?

The Elizabeth A Jacox is situated at 355 Marshall Ave, in the city of Saint Paul, state of MN, with the zip code 551021809.

What is the Elizabeth A Jacox's specialty and taxonomy code?

The Elizabeth A Jacox's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date was the 1063673663 assigned to Elizabeth A Jacox?

The Elizabeth A Jacox was issued its 1063673663 on 2008-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Elizabeth A Jacox most recently updated or revised?

The information pertaining to Elizabeth A Jacox, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-17.

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