Jackson, Diamond Dandria
Jackson, Diamond Dandria is an individual health care provider with primary practice located at 1104A S Main St , Lexington NC 27292-3134. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Diamond Dandria can be contacted via phone (336) 300-8836.Contact Information
Primary practice address
1104A S Main St
Lexington NC 27292-3134
Phone: (336) 300-8836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P018693 | North Carolina |
Profile Details
| NPI number | 1225730328 |
|---|---|
| LBN Legal business name | Jackson, Diamond Dandria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2023 |
| Last updated | Apr 12th, 2023 - about 3 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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