Mary Jack Conklin in Walnut Creek - Gerontology
Mary Jack Conklin - NPI 1366526840
Mary Jack Conklin is a Gerontology in Walnut Creek, California. Mary Jack Conklin practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Mary Jack Conklin is 1366526840. The last update date is 2007-07-08.
Mary Jack Conklin's current location address is 1425 S Main St, Walnut Creek, California. You can contact this provider via phone number 9252954659. The mailing address for Mary Jack Conklin is 1425 S Main St, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jack Conklin |
|---|---|
| Address | 1425 S Main St, Walnut Creek, California |
| Phone Number | 9252954659 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1366526840 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1425 S Main St |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945965318 |
| Phone Number | 9252954659 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 302434 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mary Jack Conklin by the Centers for Medicare & Medicaid Services?
The Mary Jack Conklin has been issued the NPI (National Provider Identifier) 1366526840, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary Jack Conklin is located?
The Mary Jack Conklin is situated at the following address: 1425 S Main St, Walnut Creek, CA, 945965318.
What is Mary Jack Conklin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Jack Conklin is Gerontology, and the taxonomy code that categorizes this field of expertise is 363Lg0600X.
On what date did Mary Jack Conklin receive its 1366526840 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jack Conklin was assigned its 1366526840 on 2006-10-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mary Jack Conklin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Jack Conklin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.