Deeanne S Jackson
M.D. | Pediatrics | Female
Deeanne S Jackson, M.D. is a Birmingham, Alabama based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Deeanne S Jackson is
1616 6th Ave S, Birmingham, Alabama - 35233-1788. She can be contacted on phone at
205-939-9585 and fax number 205-975-6503.
Deeanne S Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Deeanne S Jackson is
1407876402 which was assigned by NPPES on 20 Jul, 2006 and it was last updated on 14 Jan, 2011.
Deeanne S Jackson license number is
15540 for Pediatrics (208000000X) in Alabama.
Deeanne S Jackson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Deeanne S Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Deeanne S Jackson |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Deeanne S Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1616 6th Ave S
Birmingham, AL, 35233-1788
United States |
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| Phone Number : | 205-939-9585 |
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| Fax Number : | 205-975-6503 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1407876402 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Jul, 2006 |
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| Last Updated On : | 14 Jan, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Deeanne S Jackson are as mentioned. Primary taxonomy code for Deeanne S Jackson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 15540 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Deeanne S Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 510-25149 | Other | AL | BC BS |
| E89479 | Other | | VIVA |
| 000028944 | MEDICAID | AL | |
| 009999685 | MEDICAID | AL | |
| 000025149 | MEDICAID | AL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 703 Volker Hall
Birmingham, AL, 35294-0001
United States |
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| Phone Number : | 205-934-3795 |
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| Fax Number : | 205-975-2499 |
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Business Location:
Patients can refer following map for directions to
Deeanne S Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.