Frederic Leslie Jackson
Family Doctor Family Doctor - Hospice and Palliative Medicine
2402 Old Ranch Rd
Escondido
, California 92027-6727
Frederic Leslie Jackson
Family Doctor Family Doctor - Hospice and Palliative Medicine
2402 Old Ranch Rd
Escondido
, California 92027-6727
(877) 359-0651
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Frederic Leslie Jackson
- 2402 Old Ranch Rd
- Escondido, CA
- Zip : 92027-6727
- Fax : (877) 359-0651
- Phone : (760) 855-5423
Second Address
- Frederic Leslie Jackson
- 2402 Old Ranch Rd
- Escondido, CA
- Zip : 92027-6727
- Fax : (877) 359-0651
- Phone : (760) 855-5423
Reviews
FAQs
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In what state does Frederic Leslie Jackson practice in?
Where is Frederic Leslie Jackson ’s practice located?
What is Frederic Leslie Jackson ’s gender?
Is Frederic Leslie Jackson a sole practitioner?
Is Frederic Leslie Jackson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 0102032316 | VA |
| N | 207Q00000X | Family Doctor | OS0004196 | FL |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 20A10056 | CA |
National Provider Identifier
| NPI | 1255407318 |
|---|---|
| Provider Name | Frederic Leslie Jackson |
| First Address | Escondido, CA 92027-6727 |
| Second Address | Escondido, CA 92027-6727 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 13/12/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G17176 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.