Individual provider · Type 1 NPI

Kendra D. Jackson

Nursing Home Administrator · Raleigh, NC

NPI number 1073341418 Active

Practice location

6210 Litchford Forest Ln Apt 308
Raleigh, NC 27615-7173

Mailing address

PO Box 28544
Raleigh, NC 27611-8544

Specialties and licenses

TaxonomyCodeLicense
Nursing Home Administrator Primary 376G00000XNone listed

Nursing Home Administrator: An individual, often licensed by the state, who is responsible for the management of a nursing home.

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About NPI 1073341418

Kendra D. Jackson's National Provider Identifier is 1073341418, issued on Jul 25, 2024. The primary taxonomy on file is Nursing Home Administrator (376G00000X), and the practice location is in Raleigh, NC. The record was last updated on Jul 25, 2024.