ANGELA JACKSON
NPI 1013468248
Specialist in Pittsfield, ME

Active since October 24, 2016
110 E ST, PITTSFIELD, ME 04967(207) 355-4026 Get Directions Write a Review

NPPES record last updated: October 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About ANGELA JACKSON

This page provides the complete NPI Profile along with additional information for Angela Jackson, a provider established in Pittsfield, Maine with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1013468248 assigned on October 2016. The practitioner's primary taxonomy code is 174400000X with license number 1666300 (ME). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1013468248 Verify this NPI
Provider Name
ANGELA JACKSON
Gender
Female
Entity Type
Individual
Location Address
110 E ST PITTSFIELD, ME 04967
Location Phone
(207) 355-4026
Mailing Address
110 E ST PITTSFIELD, ME 04967
Mailing Phone
(207) 355-4026
Is Sole Proprietor?
No
Enumeration Date
10-24-2016
Last Update Date
10-24-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
1666300
License State
ME
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013468248, enumerated as an "individual" on October 24, 2016.

The provider is located at 110 E ST PITTSFIELD, ME 04967 and the phone number is (207) 355-4026.

Specialist with taxonomy code 174400000X.