Bennett J Jackson in Anchorage - Nurse Practitioner
Bennett J Jackson - NPI 1568523157
Bennett J Jackson is a Nurse Practitioner in Anchorage, Alaska. Bennett J Jackson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Bennett J Jackson is 1568523157. The last update date is 2007-07-09.
Bennett J Jackson's current location address is 6307 Debarr Rd Ste C, Anchorage, Alaska. You can contact this provider via phone number 9073337425 and fax number 9073337719. The mailing address for Bennett J Jackson is 6307 Debarr Rd Ste C, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bennett J Jackson |
|---|---|
| Address | 6307 Debarr Rd Ste C, Anchorage, Alaska |
| Phone Number | 9073337425 |
| Fax Number | 9073337719 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1568523157 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6307 Debarr Rd Ste C |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995041783 |
| Phone Number | 9073337425 |
| Fax Number | 9073337719 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 666 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1730113739 | AK | GROUP NPI | |
| NP39831 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bennett J Jackson by the Centers for Medicare & Medicaid Services?
The Bennett J Jackson has been issued the NPI (National Provider Identifier) 1568523157, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bennett J Jackson located?
The Bennett J Jackson is located at 6307 Debarr Rd Ste C, Anchorage, AK 995041783.
What is the Bennett J Jackson's specialty and taxonomy code?
The Bennett J Jackson's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Bennett J Jackson receive its 1568523157 assignment from the Centers for Medicare & Medicaid Services?
The Bennett J Jackson was assigned its 1568523157 by the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date were the Bennett J Jackson's details last updated?
The information pertaining to the Bennett J Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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