Evelyn Jackson in Monroe - Nurse Anesthetist, Certified Registered
Evelyn Jackson - NPI 1457330821
Evelyn Jackson is a Nurse Anesthetist, Certified Registered in Monroe, Michigan. Evelyn Jackson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Evelyn Jackson is 1457330821. The last update date is 2007-07-09.
Evelyn Jackson's current location address is 5623 E Dunbar Rd, Monroe, Michigan. You can contact this provider via phone number 7342413891 and fax number 7342410014. The mailing address for Evelyn Jackson is 5623 E Dunbar Rd, Monroe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Jackson |
|---|---|
| Address | 5623 E Dunbar Rd, Monroe, Michigan |
| Phone Number | 7342413891 |
| Fax Number | 7342410014 |
| Sole Proprietor | X |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1457330821 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5623 E Dunbar Rd |
|---|---|
| City | Monroe |
| State | Michigan (MI) |
| Post Code | 481619127 |
| Phone Number | 7342413891 |
| Fax Number | 7342410014 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4704138318 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4308751540 | MI | BCBS PIN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evelyn Jackson?
The Evelyn Jackson has been issued the NPI (National Provider Identifier) 1457330821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Evelyn Jackson's facilities are situated?
The facilities of Evelyn Jackson are physically located at the following address: 5623 E Dunbar Rd, Monroe, MI, 481619127.
What is Evelyn Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evelyn Jackson is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457330821 to Evelyn Jackson?
The Evelyn Jackson received its 1457330821 assignment from the Centers for Medicare & Medicaid Services on 2006-01-12.
When was the information pertaining to Evelyn Jackson most recently updated or revised?
The details related to Evelyn Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.