Heidi A Jackson is a Family in Florida, New York. Heidi A Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Heidi A Jackson is 1508942954. The last update date is 2023-03-07.
Heidi A Jackson's current location address is 158 N Main St, Florida, New York. You can contact this provider via phone number 8456511400 and fax number 8456511510. The mailing address for Heidi A Jackson is 158 N Main St, Florida, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heidi A Jackson |
|---|---|
| Address | 158 N Main St, Florida, New York |
| Phone Number | 8456511400 |
| Fax Number | 8456511510 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1508942954 |
|---|---|
| Provider Enumeration Date | 2006-10-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 158 N Main St |
|---|---|
| City | Florida |
| State | New York (NY) |
| Post Code | 109211133 |
| Phone Number | 8456511400 |
| Fax Number | 8456511510 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | F332937 |
|
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 |
|---|---|---|---|
| 510793 | RN |
Post Comment/ Review Below
What is the unique identifier code issued to Heidi A Jackson by the Centers for Medicare & Medicaid Services?
The Heidi A Jackson has been assigned the NPI (National Provider Identifier) 1508942954. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Heidi A Jackson is geographically located?
The Heidi A Jackson is physically situated at the following location: 158 N Main St, Florida, NY, 109211133.
What is the Heidi A Jackson's specialty and taxonomy code?
The Heidi A Jackson's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508942954 to Heidi A Jackson?
The Heidi A Jackson received its 1508942954 assignment from the Centers for Medicare & Medicaid Services on 2006-10-28.
When was the information related to Heidi A Jackson most recently updated or refreshed?
The details pertaining to the Heidi A Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
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