Kimethria Laurie Jackson in Ada - Family
Kimethria Laurie Jackson - NPI 1962441170
Kimethria Laurie Jackson is a Family in Ada, Oklahoma. Kimethria Laurie Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Kimethria Laurie Jackson is 1962441170. The last update date is 2007-07-09.
Kimethria Laurie Jackson's current location address is 1201 Arlington St, Ada, Oklahoma. You can contact this provider via phone number 5804361526 and fax number 5804361354. The mailing address for Kimethria Laurie Jackson is 1201 Arlington St, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimethria Laurie Jackson |
|---|---|
| Address | 1201 Arlington St, Ada, Oklahoma |
| Phone Number | 5804361526 |
| Fax Number | 5804361354 |
| Sole Proprietor | X |
| Credentials | MSN, ARNP |
NPI Number Detail
| NPI Number | 1962441170 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1201 Arlington St |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 748204072 |
| Phone Number | 5804361526 |
| Fax Number | 5804361354 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R0046831 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Kimethria Laurie Jackson by the Centers for Medicare & Medicaid Services?
The Kimethria Laurie Jackson has been assigned the NPI (National Provider Identifier) 1962441170. 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 Kimethria Laurie Jackson is geographically located?
The Kimethria Laurie Jackson is physically situated at the following location: 1201 Arlington St, Ada, OK, 748204072.
What is Kimethria Laurie Jackson's area of expertise and its corresponding taxonomy classification?
The Kimethria Laurie Jackson's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
When was the Kimethria Laurie Jackson's 1962441170 issued?
The Kimethria Laurie Jackson's 1962441170 was issued on 2006-06-05.
When was the Kimethria Laurie Jackson's information last updated?
The Kimethria Laurie Jackson's information was last updated on 2007-07-09.
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