Tina Marie Jackson in Raleigh - Adult Health
Tina Marie Jackson - NPI 1639202336
Tina Marie Jackson is a Adult Health in Raleigh, North Carolina. Tina Marie Jackson practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Tina Marie Jackson is 1639202336. The last update date is 2021-04-08.
Tina Marie Jackson's current location address is 1525 Crickett Rd, Raleigh, North Carolina. You can contact this provider via phone number 9192666565 and fax number 9192330343. The mailing address for Tina Marie Jackson is 1525 Crickett Rd, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tina Marie Jackson |
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Address | 1525 Crickett Rd, Raleigh, North Carolina |
Phone Number | 9192666565 |
Fax Number | 9192330343 |
Sole Proprietor | N |
Credentials | ANP |
NPI Number Detail
NPI Number | 1639202336 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2021-04-08 |
Provider Mailing Address Detail
Address | 1525 Crickett Rd |
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City | Raleigh |
State | North Carolina (NC) |
Post Code | 276109327 |
Phone Number | 9192666565 |
Fax Number | 9192330343 |
Provider's Primary Taxonomy Detail
Speciality | Adult Health |
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Taxonomy | 363La2200X |
Licence No | 900192 |
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tina Marie Jackson by the Centers for Medicare & Medicaid Services?
The Tina Marie Jackson has been issued the NPI (National Provider Identifier) 1639202336 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Tina Marie Jackson is physically located?
The Tina Marie Jackson is situated at the following address: 1525 Crickett Rd, Raleigh, NC 276109327.
What is Tina Marie Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tina Marie Jackson's area of specialization is Adult Health, and the corresponding taxonomy code that categorizes this field of practice is 363La2200X.
When did Tina Marie Jackson receive its 1639202336 assignment?
The Tina Marie Jackson was assigned its 1639202336 on 2007-03-13, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Tina Marie Jackson most recently updated or revised?
The details related to Tina Marie Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-08.
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