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 |
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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 |
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Provider Enumeration Date | 2006-01-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 176 W University Pkwy Ste C |
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City | Jackson |
State | Tennessee (TN) |
Post Code | 383051618 |
Phone Number | 7316606915 |
Fax Number | 7316684557 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 33929 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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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.