James, Deborah Jackson

James, Deborah Jackson is an individual health care provider with primary practice located at 167 Moore Rd Ste 206 , King NC 27021-8770. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. James, Deborah Jackson can be contacted via phone (336) 673-6450.

Contact Information

Primary practice address
167 Moore Rd Ste 206 King NC 27021-8770
Phone: (336) 673-6450
Fax: (336) 673-6449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004857 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5004857 North Carolina

Profile Details

NPI number 1881995371
LBN Legal business name James, Deborah Jackson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2010
Last updated Aug 24th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881995371 NPPES
North Carolina MEDICAID 7005753

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