Betty A Roe in Jackson - Family

Betty A Roe - NPI 1083692164

Betty A Roe is a Family in Jackson, Tennessee. Betty A Roe practices all healthcare services and medical treatments related to Family. The NPI Number for Betty A Roe is 1083692164. The last update date is 2007-07-08.

Betty A Roe's current location address is 176 W University Pkwy Ste C, Jackson, Tennessee. You can contact this provider via phone number 7316606915 and fax number 7316684557. The mailing address for Betty A Roe is 176 W University Pkwy Ste C, Jackson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Betty A Roe
Address 176 W University Pkwy Ste C, Jackson, Tennessee
Phone Number 7316606915
Fax Number 7316684557
Sole Proprietor N
Credentials APN BC

NPI Number Detail

NPI Number 1083692164
Provider Enumeration Date 2006-01-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 176 W University Pkwy Ste C
City Jackson
State Tennessee (TN)
Post Code 383051618
Phone Number 7316606915
Fax Number 7316684557

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 33929
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

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FAQs about Betty A Roe

What is the unique identification code assigned to Betty A Roe by the Centers for Medicare & Medicaid Services?

The Betty A Roe has been issued the NPI (National Provider Identifier) 1083692164. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Betty A Roe?

The Betty A Roe is situated at 176 W University Pkwy Ste C, in the city of Jackson, state of TN, with the zip code 383051618.

What is the Betty A Roe's specialty and taxonomy code?

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

On what date did Betty A Roe receive its 1083692164 assignment from the Centers for Medicare & Medicaid Services?

The Betty A Roe was assigned its 1083692164 on 2006-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Betty A Roe's details last updated?

The information pertaining to the Betty A Roe, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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