Martie Marie Jackson in Brandon - Primary Care
Martie Marie Jackson - NPI 1891753166
Martie Marie Jackson is a Primary Care in Brandon, Florida. Martie Marie Jackson practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Martie Marie Jackson is 1891753166. The last update date is 2009-03-27.
Martie Marie Jackson's current location address is 876 S Parsons Ave, Brandon, Florida. You can contact this provider via phone number 8136533359 and fax number 8136629639. The mailing address for Martie Marie Jackson is 876 S Parsons Ave, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martie Marie Jackson |
|---|---|
| Address | 876 S Parsons Ave, Brandon, Florida |
| Phone Number | 8136533359 |
| Fax Number | 8136629639 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1891753166 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2009-03-27 |
Provider Mailing Address Detail
| Address | 876 S Parsons Ave |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335116007 |
| Phone Number | 8136533359 |
| Fax Number | 8136629639 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 363Lp2300X |
| Licence No | ARNP3050652 |
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Definition: An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages. |
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What is the unique 10-digit identification code issued to Martie Marie Jackson by the Centers for Medicare & Medicaid Services?
The Martie Marie Jackson has been assigned the NPI (National Provider Identifier) 1891753166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Martie Marie Jackson?
The Martie Marie Jackson is situated at 876 S Parsons Ave, in the city of Brandon, state of FL, with the zip code 335116007.
What is Martie Marie Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Martie Marie Jackson is Primary Care, and the taxonomy code that classifies this field of practice is 363Lp2300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891753166 to Martie Marie Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1891753166 to Martie Marie Jackson on 2006-05-03.
When was the information regarding Martie Marie Jackson most recently updated?
The details pertaining to the Martie Marie Jackson, including its address, specialty, and other relevant information, were last refreshed on 2009-03-27.