Mrs. Glenda L Jackson
NP | Pediatrics | Female
Mrs. Glenda L Jackson, NP is a Rome, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Glenda L Jackson is
117 W Liberty Street, Rome, New York - 13440. She can be contacted on phone at
315-339-0401 and fax number 315-339-2957.
Mrs. Glenda L Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Glenda L Jackson is
1134208119 which was assigned by NPPES on 02 Nov, 2006 and it was last updated on 19 Mar, 2013.
Mrs. Glenda L Jackson license number is
F3340511 for Pediatrics (208000000X) in New York.
Mrs. Glenda L 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:
Mrs. Glenda L Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Glenda L Jackson |
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| Credential : | NP |
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| Gender : | Female |
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Business Address:
Mrs. Glenda L 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 : | 117 W Liberty Street
Rome, NY, 13440
United States |
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| Phone Number : | 315-339-0401 |
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| Fax Number : | 315-339-2957 |
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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 : | 1134208119 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Nov, 2006 |
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| Last Updated On : | 19 Mar, 2013 |
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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 Mrs. Glenda L Jackson are as mentioned. Primary taxonomy code for Mrs. Glenda L Jackson, NP is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | F3340511 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Glenda L Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 03353028 | MEDICAID | NY | |
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 : | 117 W Liberty Street
Rome, NY, 13440
United States |
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| Phone Number : | 315-339-0401 |
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| Fax Number : | 315-339-2957 |
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Business Location:
Patients can refer following map for directions to
Mrs. Glenda L 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. Last updated on 08 January, 2024.