Jackson, Frances A.

Jackson, Frances A. is an individual health care provider with primary practice located at 109 W Watauga Ave , Johnson City TN 37604-5621. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Jackson, Frances A. can be contacted via phone (423) 232-2600.

Contact Information

Primary practice address
109 W Watauga Ave Johnson City TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 232-2646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN06486 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X APN06486 Tennessee

Profile Details

NPI number 1639109697
LBN Legal business name Jackson, Frances A.
Credentials FNP, CS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639109697 NPPES
Tennessee Other 4004827 BLUECROSSBLUESHIELD
Tennessee MEDICAID 3343432 BLUECROSSBLUESHIELD
Tennessee Other 100036825 BLUECROSSBLUESHIELD
Tennessee Other TN01D7 BLUECROSSBLUESHIELD

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