Cheryl Jackson is a Pediatrics in Detroit, Michigan. Cheryl Jackson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Cheryl Jackson is 1053431817. The last update date is 2007-07-08.
Cheryl Jackson's current location address is 3980 John R, Detroit, Michigan. You can contact this provider via phone number 8883622500. The mailing address for Cheryl Jackson is 3980 John R, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Jackson |
|---|---|
| Address | 3980 John R, Detroit, Michigan |
| Phone Number | 8883622500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1053431817 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3980 John R |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 48201 |
| Phone Number | 8883622500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 4704140782 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identification code assigned to Cheryl Jackson by the Centers for Medicare & Medicaid Services?
The Cheryl Jackson has been issued the NPI (National Provider Identifier) 1053431817. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Cheryl Jackson is physically located?
The Cheryl Jackson is physically situated at the following address: 3980 John R, Detroit, MI, 48201.
What is Cheryl 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 Cheryl Jackson is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053431817 to Cheryl Jackson?
The Centers for Medicare & Medicaid Services assigned the 1053431817 to Cheryl Jackson on 2007-03-29.
When was the information pertaining to Cheryl Jackson most recently updated or revised?
The details related to Cheryl Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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