Kristie Lynn Jackson in Blacksburg - Family
Kristie Lynn Jackson - NPI 1053407817
Kristie Lynn Jackson is a Family in Blacksburg, Virginia. Kristie Lynn Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Kristie Lynn Jackson is 1053407817. The last update date is 2007-07-08.
Kristie Lynn Jackson's current location address is 3700 South Main Street, Blacksburg, Virginia. You can contact this provider via phone number 5409535385. The mailing address for Kristie Lynn Jackson is 3700 South Main Street, Blacksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristie Lynn Jackson |
|---|---|
| Address | 3700 South Main Street, Blacksburg, Virginia |
| Phone Number | 5409535385 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1053407817 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3700 South Main Street |
|---|---|
| City | Blacksburg |
| State | Virginia (VA) |
| Post Code | 24060 |
| Phone Number | 5409535385 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 24167104 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kristie Lynn Jackson by the Centers for Medicare & Medicaid Services?
The Kristie Lynn Jackson has been assigned the NPI (National Provider Identifier) 1053407817 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kristie Lynn Jackson?
The Kristie Lynn Jackson is situated at 3700 South Main Street, in the city of Blacksburg, state of VA, with the zip code 24060.
What is Kristie Lynn Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kristie Lynn Jackson is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Kristie Lynn Jackson receive the assignment of its 1053407817 from the Centers for Medicare & Medicaid Services?
The Kristie Lynn Jackson was issued its 1053407817 by the Centers for Medicare & Medicaid Services on 2006-10-05.
When was the Kristie Lynn Jackson's information last updated?
The Kristie Lynn Jackson's information was last updated on 2007-07-08.