FRANCES A. JACKSON FNP CS NPI 1639109697

NPI Information

NPI: 1639109697
Provider Name: FRANCES A. JACKSON, FNP, CS
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
109 W WATAUGA AVE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-2600
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Frances A. Jackson, FNP, CS is a psychiatric/mental health and adult clinical nurse specialist in Johnson City, TN. Frances A. Jackson, FNP, CS NPI is 1639109697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

109 W WATAUGA AVE
JOHNSON CITY, TN
ZIP 37604-621
Phone: (423) 232-2600
Fax: (423) 232-2646

The NPI 1639109697 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN06486	TENNESSEE	No
2	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	APN06486	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3343432	MEDICARE OSCAR/CERTIFICATION	TENNESSEE
2	4004827	OTHER	TENNESSEE	BLUECROSSBLUESHIELD
3	3343432	MEDICAID	TENNESSEE
4	P46915	MEDICARE UPIN	TENNESSEE
5	3343432	MEDICARE PIN	TENNESSEE
6	100036825	OTHER	TENNESSEE	PHP
7	TN01D7	OTHER	TENNESSEE	JOHN DEERE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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