Cynthia M Jackson in Mobile - Nurse Practitioner
Cynthia M Jackson - NPI 1306875828
Cynthia M Jackson is a Nurse Practitioner in Mobile, Alabama. Cynthia M Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Cynthia M Jackson is 1306875828. The last update date is 2018-07-10.
Cynthia M Jackson's current location address is 3408 Beltline Park Dr N, Mobile, Alabama. You can contact this provider via phone number 2512876146 and fax number 2512876154. The mailing address for Cynthia M Jackson is 3408 Beltline Park Dr N, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia M Jackson |
|---|---|
| Address | 3408 Beltline Park Dr N, Mobile, Alabama |
| Phone Number | 2512876146 |
| Fax Number | 2512876154 |
| Sole Proprietor | N |
| Credentials | CRNP |
NPI Number Detail
| NPI Number | 1306875828 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2018-07-10 |
Provider Mailing Address Detail
| Address | 3408 Beltline Park Dr N |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366171539 |
| Phone Number | 2512876146 |
| Fax Number | 2512876154 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 1059384 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Cynthia M Jackson by the Centers for Medicare & Medicaid Services?
The Cynthia M Jackson has been assigned the NPI (National Provider Identifier) 1306875828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Cynthia M Jackson's physical address?
The Cynthia M Jackson is physically located at 3408 Beltline Park Dr N, in the city of Mobile, AL, with the postal code 366171539.
What is the Cynthia M Jackson's specialty and taxonomy code?
The Cynthia M Jackson's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306875828 to Cynthia M Jackson?
The Cynthia M Jackson received its 1306875828 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
As of what date were the details related to Cynthia M Jackson most recently updated or revised?
The information pertaining to Cynthia M Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-10.
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