Rhonda Lee Jackman in Garland - Pediatrics

Rhonda Lee Jackman - NPI 1962688093

Rhonda Lee Jackman is a Pediatrics in Garland, Texas. Rhonda Lee Jackman practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Rhonda Lee Jackman is 1962688093. The last update date is 2009-11-30.

Rhonda Lee Jackman's current location address is 1317 Stony Brook Ln, Garland, Texas. You can contact this provider via phone number 9729269373. The mailing address for Rhonda Lee Jackman is 1317 Stony Brook Ln, Garland, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Rhonda Lee Jackman
Address 1317 Stony Brook Ln, Garland, Texas
Phone Number 9729269373
Fax Number
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1962688093
Provider Enumeration Date 2008-01-18
Last Updated Date 2009-11-30

Provider Mailing Address Detail

Address 1317 Stony Brook Ln
City Garland
State Texas (TX)
Post Code 750431342
Phone Number 9729269373
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 535375
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
2014169-01 TX --

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FAQs about Rhonda Lee Jackman

What is the unique 10-digit identification code assigned to Rhonda Lee Jackman by the Centers for Medicare & Medicaid Services?

The Rhonda Lee Jackman has been issued the NPI (National Provider Identifier) 1962688093, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Rhonda Lee Jackman's facilities are situated?

The facilities of Rhonda Lee Jackman are physically located at the following address: 1317 Stony Brook Ln, Garland, TX, 750431342.

What is the area of specialization for Rhonda Lee Jackman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Rhonda Lee Jackman is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.

When did the Rhonda Lee Jackman receive its 1962688093?

The Rhonda Lee Jackman was issued its 1962688093 on 2008-01-18, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Rhonda Lee Jackman most recently updated or revised?

The information pertaining to Rhonda Lee Jackman, including its address, specialty, and other relevant details, was last updated or revised on 2009-11-30.

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