Jackson, T
Jackson, T is an individual health care provider with primary practice located at 713 Milton Bluff Lane , Holly Springs NC 27540-4503. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, T can be contacted via phone (984) 332-7015.Contact Information
Primary practice address
713 Milton Bluff Lane
Holly Springs NC 27540-4503
Phone: (984) 332-7015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5020358 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 5020358 | North Carolina |
Profile Details
| NPI number | 1033681655 |
|---|---|
| LBN Legal business name | Jackson, T |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2018 |
| Last updated | Dec 23rd, 2025 - about last year |
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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