NPI 1477883809 KERRI S JACKSON NP NORTH TAZEWELL VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Kerri S Jackson - NPI: 1477883809

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KERRI S JACKSON
NPI Number: 1477883809
Entity Type Code: Individual (1)
Gender: F
Credentials: NP
License Number: 0024168602
Business Practice Address: 583c E Riverside Dr
North Tazewell, VA - 246309573
Business Phone Number: 2769799899
Business Fax Number: 2769799798
Mailing Address: 583c E Riverside Dr,
NORTH TAZEWELL
State: VA
Postal Code: 246309573
Phone Number: 2769799899
Fax Number: 2769799798
NPI Enumeration Date: 01/07/2010
NPI Last Update Date: 10/16/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: 0024168602
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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