Mary Grace Jacon is a Family in Rensselaer, New York. Mary Grace Jacon practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Grace Jacon is 1699736520. The last update date is 2019-08-22.
Mary Grace Jacon's current location address is 2 Empire Dr, Rensselaer, New York. You can contact this provider via phone number 5182864899 and fax number 5182864859. The mailing address for Mary Grace Jacon is 2 Empire Dr, Rensselaer, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Grace Jacon |
|---|---|
| Address | 2 Empire Dr, Rensselaer, New York |
| Phone Number | 5182864899 |
| Fax Number | 5182864859 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1699736520 |
|---|---|
| Provider Enumeration Date | 2006-03-30 |
| Last Updated Date | 2019-08-22 |
Provider Mailing Address Detail
| Address | 2 Empire Dr |
|---|---|
| City | Rensselaer |
| State | New York (NY) |
| Post Code | 121445730 |
| Phone Number | 5182864899 |
| Fax Number | 5182864859 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 330909 |
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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 |
|---|---|---|---|
| 2251747 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Grace Jacon by the Centers for Medicare & Medicaid Services?
The Mary Grace Jacon has been issued the NPI (National Provider Identifier) 1699736520 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mary Grace Jacon located?
The Mary Grace Jacon is located at 2 Empire Dr, Rensselaer, NY 121445730.
What is the Mary Grace Jacon's specialty and taxonomy code?
The Mary Grace Jacon's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Mary Grace Jacon receive the assignment of its 1699736520 from the Centers for Medicare & Medicaid Services?
The Mary Grace Jacon was issued its 1699736520 by the Centers for Medicare & Medicaid Services on 2006-03-30.
As of what date was the information pertaining to Mary Grace Jacon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Grace Jacon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-08-22.