Individual provider · Type 1 NPI

Mishi Kavon Jackson, MD

Family Medicine Physician · Kernersville, NC

NPI number 1215006192 Active

Practice location

1471 Jag Branch Blvd Unit 103
Kernersville, NC 27284-6963

Call (336) 515-7410 Map

Fax (336) 515-7419

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 291 Broad St, Kernersville, NC 27284-2932 · (336) 993-8181

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X200600012 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1215006192

Mishi Kavon Jackson, MD's National Provider Identifier is 1215006192, issued on Nov 7, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Kernersville, NC. The record was last updated on Mar 7, 2023.