Stephanie Perry Jackson in Canton - Family
Stephanie Perry Jackson - NPI 1821097858
Stephanie Perry Jackson is a Family in Canton, Mississippi. Stephanie Perry Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Stephanie Perry Jackson is 1821097858. The last update date is 2015-10-20.
Stephanie Perry Jackson's current location address is 162 Feather Ln, Canton, Mississippi. You can contact this provider via phone number 6018590140 and fax number 6015109643. The mailing address for Stephanie Perry Jackson is 162 Feather Ln, Canton, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Perry Jackson |
|---|---|
| Address | 162 Feather Ln, Canton, Mississippi |
| Phone Number | 6018590140 |
| Fax Number | 6015109643 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1821097858 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2015-10-20 |
Provider Mailing Address Detail
| Address | 162 Feather Ln |
|---|---|
| City | Canton |
| State | Mississippi (MS) |
| Post Code | 390468510 |
| Phone Number | 6018590140 |
| Fax Number | 6015109643 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R862558 |
|
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 |
|---|---|---|---|
| 780035 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephanie Perry Jackson by the Centers for Medicare & Medicaid Services?
The Stephanie Perry Jackson has been issued the NPI (National Provider Identifier) 1821097858 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Stephanie Perry Jackson located?
The Stephanie Perry Jackson is located at 162 Feather Ln, Canton, MS 390468510.
What is the Stephanie Perry Jackson's specialty and taxonomy code?
The Stephanie Perry Jackson's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date was the 1821097858 assigned to Stephanie Perry Jackson?
The Stephanie Perry Jackson was issued its 1821097858 on 2005-07-20, 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 Stephanie Perry Jackson most recently updated or revised?
The information pertaining to Stephanie Perry Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2015-10-20.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY