Kristine M Jackson in East Dubuque - Women's Health
Kristine M Jackson - NPI 1598855520
Kristine M Jackson is a Women's Health in East Dubuque, Illinois. Kristine M Jackson practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Kristine M Jackson is 1598855520. The last update date is 2007-07-08.
Kristine M Jackson's current location address is Po Box 162, East Dubuque, Illinois. You can contact this provider via phone number 8157473932 and fax number 5635574447. The mailing address for Kristine M Jackson is Po Box 162, East Dubuque, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kristine M Jackson |
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Address | Po Box 162, East Dubuque, Illinois |
Phone Number | 8157473932 |
Fax Number | 5635574447 |
Sole Proprietor | Y |
Credentials | ARNP |
NPI Number Detail
NPI Number | 1598855520 |
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Provider Enumeration Date | 2006-10-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 162 |
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City | East Dubuque |
State | Illinois (IL) |
Post Code | 610250162 |
Phone Number | 8157473932 |
Fax Number | 5635574447 |
Provider's Primary Taxonomy Detail
Speciality | Women's Health |
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Taxonomy | 363Lw0102X |
Licence No | IA F 066142 |
Definition: An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
140087 | IA | -- | |
18814 | IA | WELLMARK |
Post Comment/ Review Below
What is the unique identifier code issued to Kristine M Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Kristine M Jackson has been assigned the NPI (National Provider Identifier) 1598855520. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kristine M Jackson is physically located?
The Kristine M Jackson is situated at the following address: Po Box 162, East Dubuque, IL 610250162.
What is Kristine M Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kristine M Jackson is Women's Health, and the taxonomy classification code that categorizes this area of expertise is 363Lw0102X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598855520 to Kristine M Jackson?
The Kristine M Jackson received its 1598855520 assignment from the Centers for Medicare & Medicaid Services on 2006-10-13.
When was the Kristine M Jackson's information last updated?
The Kristine M Jackson's information was last updated on 2007-07-08.