Jacqueline Jackson, M.D

ActiveIndividual ProviderFamily Medicine
NPI issued: January 22, 2010

Quick Facts

NPI Number
1104157643
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207QA0505X — Family Medicine
Phone
(352) 264-8272
StateFL

NPI Validation Status: Verified

Valid 10-digit NPI number (1104157643)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 22, 2010)
Data source: CMS NPPES

Provider Overview

JACQUELINE JACKSON, M.D is a Family Medicine provider based in Gainesville, FL who has been registered with CMS since 2010. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104157643
Provider TypeIndividual Provider
GenderFemale
CredentialM.D
StatusActive
Enumeration DateJanuary 22, 2010

Practice Location

CityGainesville
StateFL
ZIP Code32609-3900
Phone(352) 264-8272

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207QA0505X
License StateFL

Mailing Address

CityGainesville
StateFL
ZIP Code32609-3900
Phone(352) 264-8272
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1104157643 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1104157643for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104157643 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
3,796
Family Medicine Providers in the US

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People Also Ask

What is Jacqueline Jackson's NPI number?
Jacqueline Jackson's NPI number is 1104157643, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jacqueline Jackson's NPI currently active?
Yes, Jacqueline Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Jacqueline Jackson specialize in?
Jacqueline Jackson specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207QA0505X.
Where does Jacqueline Jackson practice?
Jacqueline Jackson practices in Gainesville, FL 32609-3900.
When was Jacqueline Jackson's NPI issued?
Jacqueline Jackson's NPI was issued on January 22, 2010.
What is Jacqueline Jackson's provider type?
Jacqueline Jackson is registered as an Individual Provider under CMS NPI Type 1.