Evita B Henderson-Jacks in Tampa - Student In An Organized Health Care Education/training Program
Evita B Henderson-Jacks - NPI 1578752598
Evita B Henderson-Jacks is a Student In An Organized Health Care Education/training Program in Tampa, Florida. Evita B Henderson-Jacks practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Evita B Henderson-Jacks is 1578752598. The last update date is 2012-05-15.
Evita B Henderson-Jacks's current location address is 12902 Usf Magnolia Dr, Tampa, Florida. You can contact this provider via phone number 8137457487. The mailing address for Evita B Henderson-Jacks is 12902 Usf Magnolia Dr, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evita B Henderson-Jacks |
|---|---|
| Address | 12902 Usf Magnolia Dr, Tampa, Florida |
| Phone Number | 8137457487 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578752598 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2012-05-15 |
Provider Mailing Address Detail
| Address | 12902 Usf Magnolia Dr |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336129416 |
| Phone Number | 8137457487 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | TRN9826 |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14K4D | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Evita B Henderson-Jacks's 1578752598?
The Evita B Henderson-Jacks's NPI (National Provider Identifier) Number is 1578752598. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Evita B Henderson-Jacks's physical address?
The Evita B Henderson-Jacks is physically located at 12902 Usf Magnolia Dr, in the city of Tampa, FL, with the postal code 336129416.
What is the area of specialization for Evita B Henderson-Jacks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evita B Henderson-Jacks is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of expertise is 390200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578752598 to Evita B Henderson-Jacks?
The Centers for Medicare & Medicaid Services assigned the 1578752598 to Evita B Henderson-Jacks on 2007-10-16.
When was the information regarding Evita B Henderson-Jacks most recently updated?
The details pertaining to the Evita B Henderson-Jacks, including its address, specialty, and other relevant information, were last refreshed on 2012-05-15.
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