Jackson, Kendra Joy

Jackson, Kendra Joy is an individual health care provider with primary practice located at 1000 Blythe Blvd , Charlotte NC 28203-5812. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Jackson, Kendra Joy can be contacted via phone (704) 355-2171.

Contact Information

Primary practice address
1000 Blythe Blvd Charlotte NC 28203-5812
Phone: (704) 355-2171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0099966 Maryland
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X D0099966 Maryland
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2021-01806 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2021-01806 North Carolina

Profile Details

NPI number 1649776469
LBN Legal business name Jackson, Kendra Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2018
Last updated Apr 12th, 2024 - about 2 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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