Provider Type Icon

JACKSON MEDICAL ASSOCIATES PLLC NPI 1669022570


NPI Information

NPI: 1669022570
Provider Name: JACKSON MEDICAL ASSOCIATES, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 34D2177070

Address:
1188 SKYLAND DRIVE
SYLVA, NC
ZIP 28779
Phone: (828) 339-2273
Get Directions

JACKSON MEDICAL ASSOCIATES, PLLC is a family nurse practitioner in Sylva, NC. JACKSON MEDICAL ASSOCIATES, PLLC NPI is 1669022570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1188 SKYLAND DRIVE
SYLVA, NC
ZIP 28779-002
Phone: (828) 339-2273
Fax: (828) 339-2274

The provider's authorized official is Emily Hensley Crawford .
The authorized official title is Owner/fnp-bc and has the following contact phone number (828) 339-2273.

The CLIA number assigned to this NPI record is 34D2177070 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2019 and was last updated on 7/28/2020.


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
1363LF0000XNurse PractitionerFamilyYes

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

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.