Peggy Sue Jackson is a Family in Dallas, Texas. Peggy Sue Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Peggy Sue Jackson is 1588611560. The last update date is 2012-10-15.
Peggy Sue Jackson's current location address is 7515 Greenville Ave, Dallas, Texas. You can contact this provider via phone number 2146928262 and fax number 2148539415. The mailing address for Peggy Sue Jackson is 7515 Greenville Ave, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peggy Sue Jackson |
|---|---|
| Address | 7515 Greenville Ave, Dallas, Texas |
| Phone Number | 2146928262 |
| Fax Number | 2148539415 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1588611560 |
|---|---|
| Provider Enumeration Date | 2006-05-27 |
| Last Updated Date | 2012-10-15 |
Provider Mailing Address Detail
| Address | 7515 Greenville Ave |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752313831 |
| Phone Number | 2146928262 |
| Fax Number | 2148539415 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 509015 |
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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 identification code assigned to Peggy Sue Jackson by the Centers for Medicare & Medicaid Services?
The Peggy Sue Jackson has been issued the NPI (National Provider Identifier) 1588611560. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peggy Sue Jackson located?
The Peggy Sue Jackson is located at 7515 Greenville Ave, Dallas, TX 752313831.
What is Peggy Sue Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peggy Sue Jackson is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588611560 to Peggy Sue Jackson?
The Peggy Sue Jackson received its 1588611560 assignment from the Centers for Medicare & Medicaid Services on 2006-05-27.
When was the Peggy Sue Jackson's information last updated?
The Peggy Sue Jackson's information was last updated on 2012-10-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY