Larette Denise Jackson in Atlanta - Nurse Anesthetist, Certified Registered

Larette Denise Jackson - NPI 1952360851

Larette Denise Jackson is a Nurse Anesthetist, Certified Registered in Atlanta, Georgia. Larette Denise Jackson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Larette Denise Jackson is 1952360851. The last update date is 2009-02-18.

Larette Denise Jackson's current location address is 2451 Cumberland Pkwy Se, Atlanta, Georgia. You can contact this provider via phone number 8322837792. The mailing address for Larette Denise Jackson is 2451 Cumberland Pkwy Se, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Larette Denise Jackson
Address 2451 Cumberland Pkwy Se, Atlanta, Georgia
Phone Number 8322837792
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1952360851
Provider Enumeration Date 2006-03-20
Last Updated Date 2009-02-18

Provider Mailing Address Detail

Address 2451 Cumberland Pkwy Se
City Atlanta
State Georgia (GA)
Post Code 303396136
Phone Number 8322837792
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No RN104440
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
887928 GA --

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FAQs about Larette Denise Jackson

What is the unique identifier code issued to Larette Denise Jackson by the Centers for Medicare & Medicaid Services?

The Larette Denise Jackson has been assigned the NPI (National Provider Identifier) 1952360851. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Larette Denise Jackson's facilities are geographically located?

The facilities of Larette Denise Jackson are physically situated at the following location: 2451 Cumberland Pkwy Se, Atlanta, GA, 303396136.

What is Larette Denise Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Larette Denise Jackson is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.

When did the Larette Denise Jackson receive its 1952360851?

The Larette Denise Jackson was issued its 1952360851 on 2006-03-20, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Larette Denise Jackson most recently updated or revised?

The information pertaining to Larette Denise Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2009-02-18.

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