- Practice location
- 3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308
- Phone
- 877-866-7123
- Fax
- —
- Last updated
- June 15, 2012
La Scienya Marie Jackson is a Family Medicine based in Miramar, FL. La Scienya Marie Jackson practices in Miramar, FL and has the professional credentials of MD. The NPI Number for La Scienya Marie Jackson is 1679763841 and holds a License No. A111227 (CA). The current practice location address for La Scienya Marie Jackson is 3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308 and can be reached out via phone at 877-866-7123.
Provider Profile Details
- NPI Number
- 1679763841
- Provider Name
- La Scienya Marie Jackson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308
- Phone Number
- 877-866-7123
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 25, 2007
- Last Update Date
- June 15, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3601 SW 160TH Ave
Suite 250
Miramar, FL 33027-6308 - City
- Miramar
- State
- Florida
- Zip
- 33027-6308
- Phone Number
- 877-866-7123
Provider Business Mailing Address Details
- Address
- 80 Seymour St
Hartford, CT 06102-8000 - City
- Hartford
- State
- CT
- Zip
- 06102-8000
- Phone Number
- 860-545-5201
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- A111227
- License State (2)
- CA
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of La Scienya M Jackson, MD?
The NPI number of La Scienya M Jackson, MD is 1679763841. It was assigned on July 25, 2007 and is currently active in the NPPES registry.
What is the specialty of La Scienya M Jackson, MD?
La Scienya M Jackson, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CA under license number A111227.
Where does La Scienya M Jackson, MD practice?
The practice location is 3601 SW 160TH Ave, Suite 250, Miramar, FL 33027-6308. The office can be reached at 877-866-7123 (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 1679763841 directly on the NPPES registry website.