Mignon Jackman
Specialist in Fords, New Jersey
1316311343- Practice location
- 42 De Grasse St, Fords, NJ 08863-1342
- Phone
- 732-754-1576
- Fax
- —
- Last updated
- November 13, 2015
Mignon Jackman is a Specialist based in Fords, NJ. Mignon Jackman practices in Fords, NJ. The NPI Number for Mignon Jackman is 1316311343 and holds a License No. 690676 (NY). The current practice location address for Mignon Jackman is 42 De Grasse St, Fords, NJ 08863-1342 and can be reached out via phone at 732-754-1576.
Provider Profile Details
- NPI Number
- 1316311343
- Provider Name
- Mignon Jackman
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 42 De Grasse St, Fords, NJ 08863-1342
- Phone Number
- 732-754-1576
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 13, 2015
- Last Update Date
- November 13, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 De Grasse St
Fords, NJ 08863-1342 - City
- Fords
- State
- New Jersey
- Zip
- 08863-1342
- Phone Number
- 732-754-1576
Provider Business Mailing Address Details
- Address
- 42 De Grasse St
Fords, NJ 08863-1342 - City
- Fords
- State
- NJ
- Zip
- 08863-1342
- Phone Number
- 732-754-1576
License Information
- License Number
- 690676
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Fords, NJ
View all Specialists in Fords →Frequently Asked Questions
What is the NPI number of Mignon Jackman?
The NPI number of Mignon Jackman is 1316311343. It was assigned on November 13, 2015 and is currently active in the NPPES registry.
What is the specialty of Mignon Jackman?
Mignon Jackman is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 690676.
Where does Mignon Jackman practice?
The practice location is 42 De Grasse St, Fords, NJ 08863-1342. The office can be reached at 732-754-1576 (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 1316311343 directly on the NPPES registry website.