Terri Jackson in Saint Louis - Nurse Anesthetist, Certified Registered

Terri Jackson - NPI 1023080199

Terri Jackson is a Nurse Anesthetist, Certified Registered in Saint Louis, Missouri. Terri Jackson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Terri Jackson is 1023080199. The last update date is 2017-08-22.

Terri Jackson's current location address is 3015 N Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3149965330 and fax number 3148101399. The mailing address for Terri Jackson is 3015 N Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Terri Jackson
Address 3015 N Ballas Rd, Saint Louis, Missouri
Phone Number 3149965330
Fax Number 3148101399
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1023080199
Provider Enumeration Date 2006-02-03
Last Updated Date 2017-08-22

Provider Mailing Address Detail

Address 3015 N Ballas Rd
City Saint Louis
State Missouri (MO)
Post Code 631312329
Phone Number 3149965330
Fax Number 3148101399

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 126514
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
918437401 MO --
P00161434 MO RAILROAD MEDICARE

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FAQs about Terri Jackson

What is the unique 10-digit identification code assigned to Terri Jackson by the Centers for Medicare & Medicaid Services?

The Terri Jackson has been issued the NPI (National Provider Identifier) 1023080199, 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 Terri Jackson's facilities are situated?

The facilities of Terri Jackson are physically located at the following address: 3015 N Ballas Rd, Saint Louis, MO, 631312329.

What is the Terri Jackson's specialty and taxonomy code?

The Terri Jackson's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.

On what date did the Terri Jackson receive the assignment of its 1023080199 from the Centers for Medicare & Medicaid Services?

The Terri Jackson was issued its 1023080199 by the Centers for Medicare & Medicaid Services on 2006-02-03.

When was the information regarding Terri Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Terri Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-08-22.

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