Elizabeth Jackson
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
1164703120- Practice location
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone
- 508-317-3694
- Fax
- —
- Last updated
- September 5, 2011
Elizabeth Jackson is a Student in an Organized Health Care Education/Training Program based in Brockton, MA. Elizabeth Jackson practices in Brockton, MA. The NPI Number for Elizabeth Jackson is 1164703120. The current practice location address for Elizabeth Jackson is 1115 W Chestnut St, Brockton, MA 02301-7501 and can be reached out via phone at 508-317-3694.
Provider Profile Details
- NPI Number
- 1164703120
- Provider Name
- Elizabeth Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone Number
- 508-317-3694
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 5, 2011
- Last Update Date
- September 5, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7501
- Phone Number
- 508-317-3694
Provider Business Mailing Address Details
- Address
- 16 Cedar Ln
Norwood, MA 02062-3039 - City
- Norwood
- State
- MA
- Zip
- 02062-3039
- Phone Number
- 508-317-3694
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Brockton, MA
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Frequently Asked Questions
What is the NPI number of Elizabeth Jackson?
The NPI number of Elizabeth Jackson is 1164703120. It was assigned on September 5, 2011 and is currently active in the NPPES registry.
What is the specialty of Elizabeth Jackson?
Elizabeth Jackson is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Elizabeth Jackson practice?
The practice location is 1115 W Chestnut St, Brockton, MA 02301-7501. The office can be reached at 508-317-3694 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164703120 directly on the NPPES registry website.