Sue Ann Campbell Jatko in Raleigh - Pediatrics
Sue Ann Campbell Jatko - NPI 1609986538
Sue Ann Campbell Jatko is a Pediatrics in Raleigh, North Carolina. Sue Ann Campbell Jatko practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sue Ann Campbell Jatko is 1609986538. The last update date is 2007-07-08.
Sue Ann Campbell Jatko's current location address is 3000 New Bern Ave, Raleigh, North Carolina. You can contact this provider via phone number 9193508545 and fax number 9193508146. The mailing address for Sue Ann Campbell Jatko is 3000 New Bern Ave, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Ann Campbell Jatko |
|---|---|
| Address | 3000 New Bern Ave, Raleigh, North Carolina |
| Phone Number | 9193508545 |
| Fax Number | 9193508146 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1609986538 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3000 New Bern Ave |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276101231 |
| Phone Number | 9193508545 |
| Fax Number | 9193508146 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 126762 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7000242 | NC | -- |
Post Comment/ Review Below
What is the Sue Ann Campbell Jatko's 1609986538?
The Sue Ann Campbell Jatko's NPI (National Provider Identifier) Number is 1609986538. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sue Ann Campbell Jatko is geographically located?
The Sue Ann Campbell Jatko is physically situated at the following location: 3000 New Bern Ave, Raleigh, NC, 276101231.
What is Sue Ann Campbell Jatko's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sue Ann Campbell Jatko's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609986538 to Sue Ann Campbell Jatko?
The Centers for Medicare & Medicaid Services originally issued the 1609986538 to Sue Ann Campbell Jatko on 2006-08-30.
As of what date were the details related to Sue Ann Campbell Jatko most recently updated or revised?
The information pertaining to Sue Ann Campbell Jatko, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.