J Kelsey Jackson is a Medical in Pasco, Washington. J Kelsey Jackson practices all healthcare services and medical treatments related to Medical. The NPI Number for J Kelsey Jackson is 1861485773. The last update date is 2007-11-14.
J Kelsey Jackson's current location address is 520 N 4th Ave, Pasco, Washington. You can contact this provider via phone number 5095446140 and fax number 5095446163. The mailing address for J Kelsey Jackson is 520 N 4th Ave, Pasco, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | J Kelsey Jackson |
|---|---|
| Address | 520 N 4th Ave, Pasco, Washington |
| Phone Number | 5095446140 |
| Fax Number | 5095446163 |
| Sole Proprietor | N |
| Credentials | PA -C |
NPI Number Detail
| NPI Number | 1861485773 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 520 N 4th Ave |
|---|---|
| City | Pasco |
| State | Washington (WA) |
| Post Code | 993015257 |
| Phone Number | 5095446140 |
| Fax Number | 5095446163 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10003084 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8900888 | WA | -- |
Post Comment/ Review Below
What is the J Kelsey Jackson's 1861485773?
The J Kelsey Jackson's NPI (National Provider Identifier) Number is 1861485773. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where J Kelsey Jackson is located?
The J Kelsey Jackson is situated at the following address: 520 N 4Th Ave, Pasco, WA, 993015257.
What is J Kelsey 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 J Kelsey Jackson is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did J Kelsey Jackson receive its 1861485773 assignment from the Centers for Medicare & Medicaid Services?
The J Kelsey Jackson was assigned its 1861485773 on 2005-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to J Kelsey Jackson last refreshed?
The information related to the J Kelsey Jackson, including its address, specialty, and other relevant details, was last updated on 2007-11-14.