Colleen Delores Jackson in Pasadena - Family
Colleen Delores Jackson - NPI 1134331259
Colleen Delores Jackson is a Family in Pasadena, California. Colleen Delores Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Colleen Delores Jackson is 1134331259. The last update date is 2007-07-08.
Colleen Delores Jackson's current location address is 849 Manzanita Ave, Pasadena, California. You can contact this provider via phone number 3104238572 and fax number 3104238550. The mailing address for Colleen Delores Jackson is 849 Manzanita Ave, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Colleen Delores Jackson |
|---|---|
| Address | 849 Manzanita Ave, Pasadena, California |
| Phone Number | 3104238572 |
| Fax Number | 3104238550 |
| Sole Proprietor | Y |
| Credentials | NURSE PRAC |
NPI Number Detail
| NPI Number | 1134331259 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 849 Manzanita Ave |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911032961 |
| Phone Number | 3104238572 |
| Fax Number | 3104238550 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 12835 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identifier code issued to Colleen Delores Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Colleen Delores Jackson has been assigned the NPI (National Provider Identifier) 1134331259. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Colleen Delores Jackson?
The Colleen Delores Jackson is situated at 849 Manzanita Ave, in the city of Pasadena, state of CA, with the zip code 911032961.
What is Colleen Delores Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Colleen Delores Jackson is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134331259 to Colleen Delores Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1134331259 to Colleen Delores Jackson on 2007-05-03.
When was the information regarding Colleen Delores Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Colleen Delores Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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