Audra M Jackson in Atlanta - Student In An Organized Health Care Education/training Program
Audra M Jackson - NPI 1093815268
Audra M Jackson is a Student In An Organized Health Care Education/training Program in Atlanta, Georgia. Audra M Jackson practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Audra M Jackson is 1093815268. The last update date is 2010-08-23.
Audra M Jackson's current location address is Po Box 402319, Atlanta, Georgia. You can contact this provider via phone number 4797097399 and fax number 4797097053. The mailing address for Audra M Jackson is Po Box 402319, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audra M Jackson |
|---|---|
| Address | Po Box 402319, Atlanta, Georgia |
| Phone Number | 4797097399 |
| Fax Number | 4797097053 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093815268 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2010-08-23 |
Provider Mailing Address Detail
| Address | Po Box 402319 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303842319 |
| Phone Number | 4797097399 |
| Fax Number | 4797097053 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
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 |
|---|---|---|---|
| 200231990A | OK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Audra M Jackson by the Centers for Medicare & Medicaid Services?
The Audra M Jackson has been issued the NPI (National Provider Identifier) 1093815268. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Audra M Jackson is physically located?
The Audra M Jackson is situated at the following address: Po Box 402319, Atlanta, GA 303842319.
What is Audra M Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Audra M Jackson is Student In An Organized Health Care Education/training Program, and the taxonomy code that classifies this field of practice is 390200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093815268 to Audra M Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1093815268 to Audra M Jackson on 2006-09-25.
When was the information regarding Audra M Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Audra M Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-08-23.
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