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MS. TAMAR YOLANDA JACKSON M.D. NPI 1730213638


NPI Information

NPI: 1730213638
Provider Name: MS. TAMAR YOLANDA JACKSON, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: THE SOUTHEAST PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
4755 OGLETOWN STANTON RD
CHRISTIANA CARE HOSPITAL
NEWARK, DE
ZIP 19718
Phone: (302) 733-5586
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MS. Tamar Yolanda Jackson, M.D. is an internal medicine in Newark, DE with 18 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MS. Tamar Yolanda Jackson, M.D. NPI is 1730213638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

4755 OGLETOWN STANTON RD
CHRISTIANA CARE HOSPITAL
NEWARK, DE
ZIP 19718-200
Phone: (302) 733-5586
Fax: (302) 733-5833

The NPI 1730213638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/24/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineC70003469DELAWARENo
2207R00000XInternal MedicineC1-0009102DELAWAREYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.